个性化护理沟通模式及心理干预在面部软组织损伤患者整形修复治疗中的应用  

Application of Personalized Nursing Communication Mode and Psychological Intervention in the Plastic Repair Teratment of Patients with Facial Soft Tissue Injury

作　　者：王莲 邓巍[2] 刘晨晨[1] 张辉[2] WANG Lian;DENG Wei;LIU Chenchen;ZHANG Hui(Eye and Mouth Ward,Liaoning Provincial People's Hospital,Shenyang 110016,Liaoning,China;Department of Stomatology,Liaoning Provincial People's Hospital,Shenyang 110016,Liaoning,China)

机构地区：[1]辽宁省人民医院整眼口病房,辽宁沈阳110016 [2]辽宁省人民医院口腔科,辽宁沈阳110016

出　　处：《中国美容医学》2022年第4期151-155,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究个性化护理沟通模式及心理干预在面部软组织损伤患者整形修复术中的应用效果。方法:将2013年1月-2021年1月于笔者医院接受整形修复术的96例面部软组织损伤患者采用随机数字表法分为观察组和对照组,每组各48例,对照组实施常规护理干预及心理干预,观察组在对照组干预基础上实施个性化护理沟通模式;比较两组干预前及干预4周后创伤后成长情况[创伤后成长评定量表(PTGI)评分]、心理状态[心理状态评估量表(MSSNS)评分]、病耻感[社会影响量表(SIS)评分]、面部表现[中文版临床面部评价量表(FaCE)评分]。结果:干预4周后,两组PTGI、FaCE评分高于干预前,观察组高于对照组,差异均有统计学意义(P<0.05);两组MSSNS、SIS评分均低于干预前,观察组低于对照组,差异均有统计学意义(P<0.05)。结论:个性化护理沟通模式及心理干预应用于接受整形修复术的面部软组织损伤患者中可表现出显著干预效果,有助于促进患者创伤后恢复及心理状态的调节,减轻其内心病耻感,同时有助于患者面部各项表现的改善,具有较高临床应用价值。Objective To explore the application effect of personalized nursing communication mode and psychological intervention in the plastic repair surgery of patients with facial soft tissue injury. Methods 96 patients with facial soft tissue injury who underwent plastic repair surgery in the hospital between January 2013 and January 2021 were divided into observation group and control group by the random number table method, with 48 cases in each group. The control group received routine nursing intervention and psychological intervention, and the observation group implemented personalized nursing communication mode on the basis of intervention in the control group. The post-traumatic growth [Post-traumatic Growth Inventory(PTGI)], mental status [Mental Status Scale in Non-psychiatric Settings(MSSNS)], stigma [Social Impact Scale(SIS)] and facial performance [Facial Clinimetric Evaluation(FaCE)] were compared between the two groups before intervention and after 4w of intervention. Results After 4w of intervention, the scores of PTGI and FaCE in the two groups were higher than those before intervention, and the scores of observation group were higher than those of control group(P<0.05).The scores of MSSNS and SIS of the two groups were lower than those before intervention, and the scores were lower in observation group than those in control group(P<0.05). Conclusion The application of personalized nursing communication mode and psychological intervention has a significant intervention effect on patients with facial soft tissue injury undergoing plastic repair surgery, and can help promote the post-traumatic recovery and the adjustment of mental status and reduce the internal stigma, and at the same time it is helpful to improve the facial performance of patients and has high clinical application value.

关 键 词：面部软组织损伤 整形修复术 个性化护理沟通模式 心理干预 病耻感 

分 类 号：R622[医药卫生—整形外科]