应激系统干预对唐山市某院重度烧伤患者创伤后成长和应对方式的效果  

Effect of the stress system intervention on post-traumatic growth and coping style of severe burns patients in a hospital,Tangshan

作　　者：朱亮 张倩 杨小娇 邢凤梅 ZHU Liang;ZHANG Qian;YANG Xiao-jiao;XING Feng-mei(College of Traditional Chinese Medicine,Hebei Union University,Tangshan,Hebei 063000,China)

机构地区：[1]华北理工大学,河北唐山063000

出　　处：《现代预防医学》2019年第1期102-105,共4页Modern Preventive Medicine

摘　　要：目的探讨应激系统干预对唐山市某院重度烧伤患者创伤后成长和应对方式的效果。方法将2014. 1-2014. 10月在唐山市工人医院烧伤整形科的120例重度烧伤患者随机分为对照组和干预组,各60例。两组患者均进行常规护理,干预组除常规护理外,还实施应激系统干预,共干预2个月。干预前及干预2个月后分别评价两组患者创伤后成长水平和应对方式。结果干预前,两组患者的创伤后成长总分及各维度和各应对策略得分无差异(P>0. 05),干预2个月后,干预组患者创伤后成长总分(56. 02±7. 10)分及人际关系(16. 57±4. 51)、新的可能性(9. 63±3. 80)、欣赏生活(11. 23±3. 15)维度得分高于对照组(P <0. 05);干预组应对方式,面对策略评分(24. 82±3. 32)分较对照组高(21. 67±2. 38)分,回避应对策略(9. 33±2. 92)分和屈服应对策略(5. 20±1. 73)分评分较对照组低(P <0. 05)。结论唐山市某院重度烧伤患者的创伤后成长水平和应对方式可基于应激系统干预提升和改善。Objective To investigate the effect of the stress system intervention on post-traumatic growth and coping style of severe burns patients in a hospital of Tangshan. Methods A randomized controlled trial was conducted in severe burns patients in the GongRen hospital of Tangshan from January to October 2014. Totally 120 severe burns patients were recruited and randomized into two groups,with 60 cases in each group. The two groups of patients received routine nursing. In addition to routine nursing,the intervention group also intervened with a stress system for a total of 2 months. The level of post-traumatic growth and coping style were assessed before and after the intervention. Results The total score and each dimension score post-traumatic growth of two groups of patients were no significant differences before the intervention( P > 0. 05). In the intervention group,all dimensions of post-traumatic growth were significantly greater than the control group( P < 0. 05) after the intervention except the two dimensions of post-traumatic growth of personal power and spiritual changes. The facing strategy of the intervention group was higher than the control group,but the avoidance and yield strategies were lower than the control group. Conclusion Stress system intervention model can promote and enhance the level of post-traumatic growth and coping style of severe burns patients in the hospital of Tangshan.

关 键 词：应激系统 烧伤患者 创伤后成长 应对方式 

分 类 号：R195[医药卫生—卫生统计学]