头面部和双手电弧烧伤患者不同治疗阶段心理反应差异的研究  

Study on the differences of psychological response in different treatment stages of patients with head and hands injury induced by electric arc burn

作　　者：袁贇 奚璇 张燕华 曹燕文 

机构地区：[1]上海电力医院烧伤整形科,上海200050

出　　处：《感染．炎症．修复》2016年第3期140-142,共3页Infection Inflammation Repair

摘　　要：目的：对头面部及双手电弧烧伤住院患者在伤后不同治疗阶段进行心理问卷调查，了解患者焦虑和抑郁的发生状况。方法：对20例成人头面部及双手电弧烧伤住院患者于入院初（伤后24h内），扩创术前（伤后第5天）、恢复期（伤后2周～1个月）3个不同治疗阶段，采用Zung氏焦虑和抑郁评定量表进行心理问卷调查，统计分析存在焦虑、抑郁状态的存在情况。结果：20例患者在入院初（伤后24h内）、扩创术前（伤后第5天）及恢复期（伤后2周～1个月）3个治疗阶段均存在焦虑或（和）抑郁倾向；患者在入院初（伤后24h内）的焦虑和抑郁状况最明显，焦虑和抑郁评分（37．60±7．06和36．90±8．48）均明显高于扩创术前（33．45±6．15±和34．70±8．24）和恢复期（28．75±5．63和29．30±5．69），差异均有显著性（P均〈0．05）。结论：头面部及双手电弧烧伤住院患者伤后24h内焦虑抑郁状态相对于其他诊疗阶段重，建议采取相应的心理护理干预措施。Objective： To explore the occurrence of anxiety and depression in the different treatment stages of hospitalized adult patients with head and hands injury induced by electric arc burn through questionnaire. Methods： Twenty patients with head and hands injury induced by electric arc burn were investigated with self-rating anxiety scale （SAS） and self-rating depression scale （SDS） on the three stages of treatment after injury, including admission to hospital （within 24 hours after injury）, before operation （the fifth day after injury） and recovery period （2 weeks to 1 month after injury）, and the occurrence of anxiety and depression status was counted and analyzed. Results： All the 20 patients represented the possibility of anxiety or depression during the three treatment stages. The obvious anxious and depressive manifestations existed at the stage of admission to hospital （within 24 hours after injury）, the SAS and SDS scores were 37.60±7.06 and 36.90±8.48, respectively, significantly higher than that before operation （33.45±6.15 and 34.70±8.24, respectively） and recovery period （28.75±5.63 and 29.30±5.69, respectively）, with significant differences （P〈0.05）. Conclusions： The anxious and depressive manifestations at the stage of admission to hospital （within 24 hours after injury） are more serious than other treatment stages. It is necessary to make a series of psychological nursing intervention for electric arc burn adult patients with head and hands injury when they admit to the hospital.

关 键 词：电弧烧伤 焦虑 抑郁 

分 类 号：R644[医药卫生—外科学]