系统性护理联合正念减压在急诊烧伤患者中的应用及对患者自我接纳度的影响  

Application of Systemic Nursing Combined with Mindfulness-based Stress Reduction in Emergency Burn Patients and its Influence on Patients'Self Acceptance

作　　者：史晓文[1] 季学丽[1] SHI Xiao-wen;JI Xue-li(Emergency Medical Center of Jiangsu Provincial People's Hospital,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省人民医院急诊医学中心,江苏南京210029

出　　处：《中国美容医学》2020年第12期173-176,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨系统性护理联合正念减压对急诊烧伤患者的应用价值,及其对患者伤残接受度、社交回避及苦恼的影响。方法:选取2017年7月-2019年10月笔者医院收治的急诊烧伤患者240例。采用随机数字法,将患者分为观察组和对照组,各120例。对照组选用常规烧伤护理方法进行干预,观察组选用系统性护理联合正念减压法进行干预。干预前后均采用焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、生活自理能力量表(Activity of daily living scale,ADL)、伤残接受度量表(Acceptance of disability scale,AODS)和社交回避及苦恼量表(Social avoidance and distress scale,SADS)对两组患者进行比较。结果:干预前,两组SAS、SDS、ADL、AODS、社交回避及苦恼评分比较,差异均无统计学意义(P>0.05)。干预后,观察组SAS、SDS、社交回避及苦恼评分均低于干预前,且均低于对照组,差异有统计学意义(P<0.05);两组ADL及AODS评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:系统性护理联合正念减压干预可改善急诊烧伤患者焦虑、抑郁状况,提高身体自理能力,同时降低患者社交回避倾向及苦恼感受。Objective To explore the application value of systemic nursing combined with mindfulness-based stress reduction in emergency burn patients,and the effect on disability acceptance,social avoidance and distress.Methods Total of 240 patients with emergency burn admitted to our hospital from July 2017 to October 2019 were selected.They were divided into the control group(n=120)and the observation group(n=120)by random number method.The control group was interfered by conventional management methods,and the observation group was interfered by systemic nursing and mindfulness-based stress reduction.Compared the self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-care ability scale(ADL),disability acceptance scale(AODS)and social avoidance and distress scale(SADS)before and after the intervention.Results Before intervention,there were no significant difference in the SAS,SDS,ADL,AODS and social avoidance and distress scores between the two groups(P>0.05).After the intervention,SAS,SDS,social avoidance and distress scores of the observation group were lower than those before the intervention,and were lower than those of the control group,the differences were statistically significant(P<0.05).The ADL and AODS scores of the two groups were higher than those before the intervention,and the observation group were higher than those of the control group(P<0.05).Conclusion Systemic nursing combined with mindfulness decompression intervention can improve the anxiety and depression of patients with acute burns,increase physical recovery,and reduce the patients'social avoidance tendency and distress.

关 键 词：急诊烧伤 系统性护理 正念减压 伤残接受度 社交回避 苦恼 

分 类 号：R473[医药卫生—护理学]