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作 者:王志慧[1] 李洁[1] WANG Zhi-hui;LI Jie(Jiaozuo Second People's Hospital,Henan Province,454000,China)
出 处:《中国医疗美容》2018年第9期68-71,共4页China Medical Cosmetology
摘 要:目的评价心理支持联合放松疗法对浅Ⅱ-Ⅲ度烧伤患者不良应激情绪影响。方法选取2010年4月至2013年5月在我院住院治疗的浅Ⅱ-Ⅲ度烧伤患者146例,随机分为常规干预组(n=73)和联合干预组(n=73),常规干预组在常规护理基础上,进行健康教育和心理护理,联合干预组在常规干预组措施基础上联合放松治疗。所有患者均于入院后2d内和联合干预组进行2个疗程后,利用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的评估,利用自行设计的调查问卷对患者遵医护行为、自我保健及烧伤相关知识了解情况,以及对护理过程满意度情况进行调查。结果两组患者干预后SAS和SDS评分均较干预前降低,差异均具有统计学意义(P <0.05),联合干预组患者干预后SAS和SDS评分分别为(38.5±5.7)和(40.6±4.9),均低于常规干预组,差异均具有统计学意义(P <0.05);联合干预组患者遵医护行为、自我保健知识掌握和对护理过程满意度均好于常规护理组,差异均具有统计学意义(P <0.05)。结论心理支持联合放松疗法可有效缓解浅Ⅱ-Ⅲ度烧伤患者不良应激情绪,提高患者对护理过程满意度。Objective To investigate the effect of psychological support combined with relaxation therapy on adverse emotions in patients with superfcialⅡ-Ⅲ degree burn. Methods A total of 146 cases of patients with superfcial Ⅱ-Ⅲ degree burn treated in our hospital were selected from April 2010 to May 2013. They were randomly divided into routine intervention group (n=73) and combined intervention group (n=73). Routine intervention group was given health education and psychological nursing on the basis of routine nursing. The combined intervention group was given relaxation therapy on the basis of measures in the routine intervention group. At all patients in 2d after admission and after 2 courses of the combined intervention group, patients were assessed by using the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS), patient compliance behaviors, self-care and burn-related knowledge were understood by using self-designed questionnaires, and the satisfaction of the care process was surveyed. Results The SAS and SDS scores of the two groups after intervention were lower than those before the intervention, the differences were statistically signifcant (P 〈 0.05). The SAS and SDS scores of the patients in the combined intervention group were (38.5±5.7) and (40.6±4.9), respectively, which were lower than the conventional intervention group, and the differences were statistically signifcant (P 〈 0.05). The patients in the combined intervention group had better compliance with the nursing behavior, self-health knowledge and satisfaction of the nursing process than the routine intervention group, and the differences were statistically signifcant (P 〈 0.05). Conclusion Psychological support combined with relaxation therapy could effectively alleviate the bad stress mood of patients with superfcial Ⅱ-Ⅲ degree burn and improve the satisfaction of patients in the nursing process.
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