面部烧伤患者伤残接受度与应对方式及希望水平的相关性  

Correlation of disability acceptance of facial burn patients and coping methods & hope level and nursing strategy

作　　者：高利娟[1] 刘义娟[2] 高巧妮[3] 

机构地区：[1]西安市中心医院体检科,西安710068 [2]西安市中心医院烧伤整形科,西安710068 [3]西安市中心医院干部病房,西安710068

出　　处：《临床与病理杂志》2017年第6期1238-1243,共6页Journal of Clinical and Pathological Research

摘　　要：目的:调查面部烧伤患者伤残接受度、应对方式及希望水平的临床现状,并分析伤残接受度与应对方式及希望水平的相关性。方法:通过横断面调查的方法选择2013年6月至2016年6月在西安市中心医院住院治疗的面部烧伤患者,采用患者一般情况调查表、伤残接受度量表(Acceptance of Di sability Scale,AODS)、希望水平指数量表(Hope Level Index Scale,HII)及医学应对方式问卷(Medical Coping Methods Questionnaire,MCMQ)对患者进行调查。本研究共计发放180份问卷,回收有效问卷172份。结果:面部烧伤患者的伤残接受度较低,总分为63.05±14.39;希望水平处于中等水平,总分为31.40±5.00,在回避应对及屈服应对的得分明显高于国内常模,在面对应对的得分明显低于国内常模,差异具有统计学意义(P<0.05);相关性分析结果显示希望水平各维度得分与伤残接受度各维度得分及总分呈正相关关系(r=0.223~0.325,P<0.05),回避应对及屈服应对与伤残接受度各维度得分及总分呈负相关关系(r=–0.281~–0.151,P<0.05),面对应对与伤残接受度各维度得分及总分呈正相关关系(r=0.375~0.406,P<0.05)。结论:面部烧伤患者伤残接受度水平相对较低,临床医护人员可通过调动积极心理资源及帮助患者采用积极的应对方式,以提升其心理健康状态。Objective： To investigate the current clinical situations of disability acceptance, copying methods and hope level of facial burn patients, and to analyze the correlation between disability acceptance and copying methods hope level. Methods： Facial burn patients who were hospitalized and treated in our hospital from June 2013 to June 2016 were selected with the method of cross-sectional study. General Situation Questionnaire of Patients, Acceptance of Disability Scale（AODS）, Hope Level Index Scale（HII） and Medical Coping Methods Questionnaire（MCMQ） were adopted to investigate the patients. In this study, 180 copies of questionnaire were given out and 172 effective copies were recovered. Results： Disability acceptance of facial burn patients was low; the total score was 63.05±14.39. Their hope level was in the medium range; the total score was 31.40±5.00. Their scores of avoidance coping and yield coping were evidently higher than national norms, while the score of confrontation coping was evidently lower than national norm; the differences were of statistical significance（P0.05）. As indicated by the results of Pearson correlation analysis, scores of all dimensions of hope level were positively correlated with scores of all dimensions of disability acceptance and the total score（r=0.223–0.325, P0.05）; avoidance coping and yield coping were negatively correlated with scores of all dimensions of disability acceptance and the total score（r=–0.281––0.151, P0.05）; confrontation copying was positively correlated with scores of all dimensions of disability acceptance and the total score（r=0.375–0.406, P0.05）. Conclusion： Disability acceptance of facial burn patients is low. Clinical medical care personnel can improve the patients＇ psychological health by mobilizing their positive psychological resources and helping them adopt the positive coping methods.

关 键 词：面部烧伤 伤残接受度 希望水平 应对方式 护理 

分 类 号：R473.6[医药卫生—护理学]