烧伤病人创面瘙痒发生现状及与负性情绪的相关性分析  

Status quo of wound pruritus in burn patients and its correlation analysis with negative emotions

作　　者：戴倩莹[1] 郑若[1] 梁银爱[1] 谭伟锋[1] DAI Qianying;ZHENG Ruo;LIANG Yin'ai;TAN Weifeng(Jiangmen Central Hospital,Guangdong 529000 China)

机构地区：[1]江门市中心医院,529000

出　　处：《全科护理》2022年第1期84-87,共4页Chinese General Practice Nursing

基　　金：江门市医疗卫生领域科技计划项目,编号:2020YLA123。

摘　　要：目的:调查烧伤病人创面瘙痒发生现状,探究创面瘙痒症与负性情绪的相关性,为后期采用针对性心理疏导提供参考依据。方法:随机选取医院2018年6月—2021年1月烧伤科264例烧伤病人,收集研究对象基本信息,包括年龄、性别、吸烟史、饮酒史、致伤原因、是否植皮、全身烧伤面积。采用视觉模拟评分(VAS)评价病人烧伤创面瘙痒程度,使用焦虑自评量表(SAS)和抑郁自评量表(SDS)对烧伤病人负性情绪进行评估。采用Spearman相关性分析探讨烧伤病人创面瘙痒状况与负性情绪的相关性。结果:264例烧伤病人创面瘙痒发生率为70.83%,创面瘙痒组病人的SAS、SDS评分均明显高于创面无瘙痒组(均P<0.001);不同烧伤创面瘙痒程度的病人SAS、SDS评分比较差异有统计学意义(均P<0.001),即创面瘙痒越严重,烧伤病人负性情绪越严重。Spearman相关性分析同样显示创面瘙痒程度与焦虑、抑郁呈明显正相关(r值为0.580、0.462,均P<0.001)。结论:烧伤病人瘙痒发生率较高,病人出现创面瘙痒往往伴随负性情绪,临床中应重视此类人群的心理护理,采取针对性措施用于缓解病人的负性情绪及烧伤创面瘙痒症状。Objective:To investigate the status quo of wound pruritus in burn patients and explore the correlation between wound pruritus and negative emotions,so as to provide reference for the later use of targeted psychological counseling.Methods:A total of 264 burn patients were randomly selected from the burn department of the hospital from June 2018 to January 2021.Basic information of the subjects was collected,including age,gender,smoking history,drinking history,cause of injury,skin graft or not,and body burn area.Visual Analogue Scale(VAS)was used to evaluate the itching degree of burn patients,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the negative emotion of burn patients.Spearman correlation analysis was used to explore the correlation between wound pruritus and negative emotion in burn patients.Results:The incidence of wound pruritus in 264 burn patients was 70.83%.SAS and SDS scores in wound pruritus group were significantly higher than those in non-wound pruritus group(P<0.001).SAS and SDS scores of patients with different itching degrees of burn wounds were significantly different(all P<0.001),that is,the more severe the itching of burn wounds was,the more severe the negative emotions of burn patients was.Spearman correlation analysis also showed a significant positive correlation between wound pruritus degree and anxiety and depression(r=0.580,0.462,P<0.001).Conclusions:The incidence of wound pruritus in burn patients is high,and patients with wound pruritus are often accompanied by negative emotions.In clinical practice,attention should be paid to the psychological care of these people,and targeted measures should be taken to alleviate patients'negative emotions and pruritus on the burn wound.

关 键 词：烧伤 创面瘙痒 焦虑 抑郁 相关性 

分 类 号：R473.6[医药卫生—护理学]