团体心理辅导对烧伤患者自信心和社会适应能力的影响  

Effects of group psychological counseling on self-confidence and social adaptation of burn patients

作　　者：党瑞[1] 王易坤 李娜[3] 何亭[1] 石梦娜[1] 梁艳艳[1] 朱婵[1] 周永博[1] 齐宗师[1] 胡大海[1] 

机构地区：[1]第四军医大学西京医院全军烧伤中心,烧伤与皮肤外科, 西安710032 [2] 西安交通大学临床医学系 [3] 西京学院心理辅导中心

出　　处：《中华烧伤杂志》2014年第6期487-490,共4页Chinese Journal of Burns

摘　　要：目的 探讨团体心理辅导对烧伤患者康复期间自信心水平和社会适应能力的作用.方法 将2012年1月-2014年1月西京医院收治的64例符合入选标准的烧伤患者按照康复治疗的方法分为对照组和试验组,每组32例.对照组患者接受常规康复治疗;试验组患者在常规康复治疗的基础上结合团体心理辅导,治疗时间为8周.治疗前、后采用自信心测验量表评估患者的自信心水平,计数自卑者、自我感觉平常者、自信者、超级自信者;治疗前、后采用中文版烧伤患者简易健康量表评估患者躯体功能、心理功能、社会关系、一般健康状况、综合状况,以了解患者的社会适应能力.对数据行t检验、X2检验、Mann-Whitney U检验、Wilcoxon检验. 结果 （1）试验组患者治疗后自信心水平较对照组显著提高（Z=-2.573,P＜0.05）;试验组患者中自卑者由治疗前的17例（53.1％）降至治疗后的6例（18.8％）,自我感觉平常者由治疗前的8例（25.0％）增至治疗后的13例（40.6％）,自信者由治疗前的4例（12.5％）增至治疗后的10例（31.3％）,治疗前后总体变化明显（Z=-4.123,P＜0.01）.治疗前、后,对照组患者自信心水平无明显变化（Z=-1.000,P＞0.05）.（2）试验组患者治疗后的心理功能、社会关系、一般健康状况、综合状况领域分值分别为（87±3）、（47.8±3.6）、（49±3）、（239±10）分,均明显高于对照组的（79±4）、（38.3±5.6）、（46±4）、（230±9）分（t值分别为-8.635、-8.125、-3.352、-3.609,P值均小于0.0l）.试验组患者治疗后各领域分值均明显高于治疗前（t值为-33.282～-19.515,P值均小于0.05）;对照组患者治疗后躯体功能、心理功能、一般健康状况、综合状况领域分值明显高于治疗前（t值为-27.137～-17.790,P值均小于0.05）. 结论 团体心理辅导结合常规烧伤康复治疗,在提高烧伤患者的自信心水平及社会适应能力方面�Objective To explore the effects of group psychological counseling on the self-confi-dence and social adaptation of burn patients during the course of rehabilitation.Methods Sixty-four burn patients conforming to the inclusion criteria and hospitalized from January 2012 to January 2014 in Xijing Hospital were divided into trial group and control group according to the method of rehabilitation,with 32 cases in each group.Patients in the two groups were given ordinary rehabilitation training for 8 weeks,and the patients in trial group were given a course of group psychological counseling in addition.The Rosenberg＆#39;s Self-Esteem Scale was used to evaluate the changes in self-confidence levels,and the number of patients with inferiority complex,normal feeling,self-confidence,and over self-confidence were counted before and after treatment.The Abbreviated Burn-Specific Health Scale was used to evaluate physical function,psychological function,social relationship,health condition,and general condition before and after treatment to evaluate the social adaptation of patients.Data were processed with t test,chi-square test,Mann-Whitney U test,and Wilcoxon test.Results （1） After treatment,the self-confidence levels of patients in trial group were significantly higher than those in control group （Z =-2.573,P 〈0.05）.Among trial group,the number of patients with inferiority complex was 17 （53.1%） before treatment,which was decreased to 6 （18.8%） after treatment; the number of patients with normal feeling and that of self-confidence were 8 （25.0%） and 4 （12.5%） before treatment,which were respectively increased to 13 （40.6%） and 10 （31.3%） after treatment.The overall difference in trial group was obvious between before and after treatment （Z =-4.123,P 〈 0.01）.There was no obvious difference in self-confidence level of patients in control group between before and after treatment （Z =-1.000,P 〉 0.05）.（2） After treatment,the scores of psychological func-tion,social relationsh

关 键 词：烧伤 康复 社会适应 心理疗法 分组 自信心 

分 类 号：R473.6[医药卫生—护理学]