KAP理论对颜面部大面积烧伤后瘢痕预构皮瓣治疗患者治疗认知度及心理弹性的影响  

The effect of KAP theory on the treatment cognition and psychological resilience of patients with scar prefabricated skin flaps after extensive facial burn

作　　者：王伟阁[1] 吕传阁[1] 张攀攀 WANG Wei-ge;LÜChuan-ge;ZHANG Pan-pan(orthopedic surgery for burns,shangqiu first people's hospital,Henan Province,476100,China)

机构地区：[1]商丘市第一人民医院烧伤整形外科,河南商丘476100

出　　处：《中国医疗美容》2021年第2期79-82,共4页China Medical Cosmetology

摘　　要：目的分析知识-信念-行为(KAP)理论对颜面部大面积烧伤后瘢痕预构皮瓣治疗患者治疗认知度及心理弹性的影响。方法选取2017年1月~2020年1月我院收治的颜面部大面积烧伤后瘢痕预构皮瓣治疗患者84例作为研究对象,根据建档顺序不同分为2组,各42例,对照组实施常规护理干预,在此基础上观察组展开KAP理论干预。比较2组干预前后心理弹性(CD-RISC)水平、应对方式(MCMQ)变化、治疗认知度、护理满意度。结果干预后2组坚韧、自强、乐观评分较干预前升高,且观察组高于对照组(P<0.05);干预后2组应对方式优于干预前,且观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);观察组治疗认知度高于对照组(P<0.05);观察组护理满意度95.24%高于对照组73.81%(P<0.05)。结论在颜面部大面积烧伤后瘢痕预构皮瓣治疗患者管理中,KAP理论能改善患者心理弹性水平,以积极方式面对自身状况,提高治疗认知度及护理满意度。Objective To analyze the effect of knowledge-belief-behavioral(KAP)theory on the treatment cognition and mental resilience of patients with scar prefabricated skin flaps after extensive facial burn.Methods A total of 84 patients with scar prefabricated skin flaps after extensive facial burn treated in our hospital from January 2017 to January 2020 were selected as the research objects.According to the order of filing,they were divided into 2 groups,42 cases in each.The control group implemented routine nursing intervention,on the basis of which the observation group launched KAP theoretical intervention.The psychological resilience(CD-RISC)level,coping style(MCMQ)changes,treatment awareness,and nursing satisfaction before and after intervention were compared between the 2 groups.Results After intervention,the scores of toughness,self-improvement and optimism of the two groups were higher than before intervention,and the observation group was higher than the control group(P<0.05);after the intervention,the coping style of the two groups was better than before,and the observation group's yield and avoidance scores were lower than the control group,and the face score was higher than the control group(P<0.05);the treatment awareness of the observation group was higher than the control group(P<0.05);the nursing satisfaction rate of the observation group was 95.24%higher than that of the control group 73.81%(P<0.05).Conclusion In the management of patients with scar prefabricated skin flaps after large facial burns,KAP theory can improve the patient's psychological resilience,face their own conditions in a positive way,and improve treatment awareness and nursing satisfaction.

关 键 词：颜面部 治疗认知度 烧伤 心理弹性 知识-信念-行为理论 应对方式 

分 类 号：R622[医药卫生—整形外科]