中重度烧伤患者心理应激及心理干预效果  

Psychological stress and effect of psychological intervention of patients with moderate and severe burn

作　　者：罗秀娟[1] 廖巧聪[1] 林晓芳[1] 

机构地区：[1]中国人民解放军第92医院,福建南平353000

出　　处：《临床心身疾病杂志》2014年第2期62-63,70,共3页Journal of Clinical Psychosomatic Diseases

基　　金：南京军区医药卫生科研立项课题（编号12MA58）

摘　　要：目的：探讨中重度烧伤患者的心理应激状况及心理干预效果。方法将172例中重度烧伤患者随机分为两组，分析烧伤患者存在的心理应激反应。两组均予以烧伤科常规治疗及护理，研究组联合心理干预，观察治疗全程。采用抑郁自评量表、焦虑自评量表评定心理干预效果。结果本组患者主要出现焦虑、抑郁、恐惧、不合作、失眠及孤独等心理应激反应。心理干预前，两组抑郁自评量表、焦虑自评量表评分比较差异无显著性（P＞0．05）；心理干预后，两组均较干预前显著降低（P＜0．01），且研究组显著低于对照组（P＜0．01）。结论中重度烧伤患者存在不同程度的心理应激反应，心理干预能有效缓解患者的不良情绪，减轻患者痛苦。Objective To explore psychological stress and effect of psychological intervention of patients with moderate and severe burn （MSB） .Methods A total of MSB patients were randomly assigned to two groups and their psychological stress responses analyzed .Both groups received routine treatment and nurs-ing of burn department ,research group was plus psychological intervention ,and all patients were observed during whole course of treatment .Effects of psychological intervention were assessed with the Self-rating Depression Scale and Depression Status Inventory （SDS） and Self-rating Anxiety Scale （SAS） .Results Their psychological stress responses were mainly anxiety ,depression ,phobia ,noncooperation ,insomnia , loneliness and os on .There were no significant group differences in the SDS and SAS score before inter-vention （P〉0 .05）;after psychological intervention ,the SDS and SAS scores of both groups lowered more significantly compared with pre-intervention （P〈 0 .01） ,so did those in research than in control group （P〈0 .01） .Conclusion MSB patients had different degrees of psychological stress responses ,psychologi-cal intervention could effectively improve patient’s unhealthy emotions and lessen their pains .

关 键 词：中重度烧伤 心理应激 心理干预 抑郁自评量表 焦虑自评量表 

分 类 号：R644[医药卫生—外科学]