特重度烧伤患者康复期生活质量现状及其影响因素分析  

Current status of quality of life in patients with extremely severe burns during the rehabilitation period and its influencing factors

作　　者：祝红娟 周体[2] 曾登芬 迟云飞 刘丽云 王彦华 李东杰[1] 王淑君[1] Zhu Hongjuan;Zhou Ti;Zeng Dengfen;Chi Yunfei;Liu Liyun;Wang Yanhua;Li Dongjie;Wang Shujun(Department of Burn Plastic Surgery,People's Liberation Army General Hospital Fourth Medical Center,Beijing 100048,China;Nursing Department,People's Liberation Army General Hospital Fourth Medical Center,Beijing 100048,China)

机构地区：[1]解放军总医院第四医学中心烧伤整形医学部,北京100048 [2]解放军总医院第四医学中心护理部,北京100048

出　　处：《中华现代护理杂志》2021年第26期3508-3514,共7页Chinese Journal of Modern Nursing

基　　金：解放军总医院医疗大数据与人工智能研发项目(2019MBD-054)。

摘　　要：目的探讨国内特重度烧伤患者康复期生活质量现状及其影响因素,为临床早期心理干预及延续护理提供指导。方法采取便利抽样法选取2016年6月—2020年6月国内22所三级甲等医院烧伤科收治的168例特重度烧伤患者作为研究对象进行问卷调查,问卷包括中文版的简明烧伤患者健康量表和一般情况调查表,采用多重线性回归分析探讨特重度烧伤患者康复期生活质量的影响因素。结果特重度烧伤患者康复期生活质量初始得分为(157.27±30.61)分,生活质量最终得分为(49.14±9.56)分,各领域生活质量最终得分从高到低排列依次为:社会关系领域、一般健康状况领域、躯体功能领域、心理健康领域。多重线性回归分析显示,影响特重度烧伤患者康复期生活质量的因素包括性别、年龄、文化程度、婚姻状况、费用来源(P<0.05)。结论我国特重度烧伤患者康复期的生活质量均处于较低水平,护士应根据影响患者生活质量的相关因素,加强患者住院期间的心理干预,开展延续护理。Objective To explore the current status of quality of life in domestic patients with extremely severe burns during the rehabilitation period and its influencing factors,so as to provide guidance for early clinical psychological intervention and continuous nursing.Methods From June 2016 to June 2020,convenience sampling was adopted to select 168 patients with extremely severe burns admitted to the Burn Department of 22 ClassⅢGrade A hospitals in China as the research subject for questionnaire survey.The questionnaire included the Burn Specific Health Scale-Chinese Version and the General Information Questionnaire.Multiple linear regression analysis was used to determine the factors affecting the quality of life of patients with extremely severe burns during the rehabilitation period.Results The initial quality of life score for patients with extremely severe burns during the rehabilitation period was(157.27±30.61),and the final quality of life score was(49.14±9.56).The final scores of the quality of life in each field were ranked from high to low in the order of social relations,general health,physical function,and mental health.Multiple linear regression analysis showed that the factors affecting the quality of life of patients with extremely severe burns during the rehabilitation period included gender,age,education level,marital status and source of expenses(P<0.05).Conclusions The quality of life of patients with extremely severe burns in my country during the rehabilitation period is at a relatively low level.Nurses should strengthen the psychological intervention of patients during hospitalization and carry out continuous nursing according to the relevant factors that affect the quality of life of patients.

关 键 词：烧伤 生活质量 特重度 影响因素 

分 类 号：R473.6[医药卫生—护理学]