烧伤患者出院后伤残接受度及其影响因素  

Acceptance of Disability in Patients with Burns after Discharge and Its Influencing Factors

作　　者：李琳[1] 吴晓蕾 许乐[3] Li Lin;Wu Xiaolei;Xu Lea(Department of Burn, Union Hospital Affiliated to Fujian Medical Universi- ty, Fuzhou 350001, Fujian Province, China;School of Nursing, Fujian Medical Univerisity, Fuzhou 350108,Fujian Province, China;Department of Nursing, Union Hospital Affiliated to Fujian Medical University)

机构地区：[1]福建医科大学附属协和医院烧伤科,福建福州350001 [2]福建医科大学护理学院,福建福州350108 [3]福建医科大学附属协和医院护理部

出　　处：《解放军护理杂志》2018年第3期1-6,共6页Nursing Journal of Chinese People's Liberation Army

基　　金：国家临床重点专科建设项目(国卫办医函[2013]544号);国家临床重点专科建设项目(卫办医政函[2012]649号);福建省卫生计生中青年骨干人才培养项目(2017-ZQN-36)

摘　　要：目的了解烧伤患者出院后伤残接受度水平,并探讨其影响因素。方法2016年12月至2017年9月,便利抽样法选择在福建省某烧伤中心门诊复查的出院3个月的烧伤患者212例为研究对象。采用中文版伤残接受度量表(修订版)(acceptance of disability scale-revised,ADS-R)、医学应对方式问卷(medical coping modes questionnaire,MCMQ)、改良Barthel指数评定量表(modified Barthel index,MBI)、疼痛视觉模拟评分法(visual analogue scale,VAS)和烧伤患者一般情况调查表对其调查。结果烧伤患者伤残接受度总均分为(75.83±20.02)分;烧伤严重程度、日常生活能力(activies daily living,ADL)水平、VAS评分、职业、经济状况及"面对"的应对方式是烧伤患者伤残接受度的主要影响因素。结论烧伤患者伤残接受度处于中度偏低水平。医护人员应重点关注重度及特重度烧伤、疼痛反应剧烈、从事体力劳动、经济困难患者的伤残接受度水平。以提高日常生活能力、缓解疼痛反应、促进积极应对方式等方面为切入点,实施有针对性的干预,从而促进患者身心康复。Objective To explore the acceptance of disability in patients with burns and to discuss its in- fluencing factors. Methods By convenience sampling, 212 patients with burns were selected and investi- gated by acceptance of disability scale-revised（ADS-R） , medical coping modes questionnaire （MCMQ） , modified Barthel index rating scale（MBI） , visual analogue scale（VAS） and patients demographic data were also collected. Results The general score of ADS-R was（ 7 5.8 3 ± 2 0.0 2 ） ; and severity of burn, ac- tivities of daily living （ADL） , VAS score, occupation, economic condition and confrontation were the main influencing factors.Conclusion The status of acceptance of disability among patients with burns is at the medium to low level. Medical stuff should pay more attention to status of acceptance of disability in burn patients with severe or extremely severe burns, great pain, financial difficulty or manual labour, provide target intervention program by encouraging positive coping style, relieving pain reaction and im- proving daily activities, to promote patients body function recovery and psychosomatic rehabilitation.

关 键 词：烧伤 出院后伤残接受度 影响因素 

分 类 号：R644[医药卫生—外科学]