半封闭病房内住院烧伤患者陪护者心理需求与影响因素分析  

Analysis of psychological needs, influencing factors of caregivers of hospitalized burn patients in semi-closed wards

作　　者：华英 常晶晶 吴长青 陈亚蓉 张怡 HUA Ying;CHANG Jingjing;WU Changqing;CHEN Yarong;ZHANG Yi(Department of Burns,951 Hospital of the PLA,Korla 841000,China)

机构地区：[1]陆军第九五一医院烧伤科,新疆库尔勒841000

出　　处：《医药高职教育与现代护理》2023年第1期74-78,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的 研究半封闭病房内住院烧伤患者陪护者心理需求及影响因素。方法 选取医院从2018年1月至2020年12月收治的92例半封闭病房内住院烧伤患者及其陪护者纳入研究。评估陪护者的心理需求情况,对其影响因素实施单因素、多元线性回归分析。另外,分析陪护者防护行为正确执行情况。结果 陪护者重危患者家属需求量表(CCFNI)总分为(140.96±12.37)分。经单因素及多元线性回归分析可得:患者年龄≤45岁、陪护者无监护隔离病房陪护经验、陪护者为女性、陪护者受教育程度高中及以下、患者烧伤总面积>10%、患者烧伤程度为重度/特重度均是陪护者CCFNI评分的影响因素(均P<0.05;r=0.708,r^(2)=0.501,虚拟变量护理后r^(2)=0.415)。陪护者正确佩戴口罩、执行手卫生以及病房通风情况有待提高。结论 患者年龄、烧伤面积、烧伤程度以及陪护者性别、监护隔离病房陪护经验、受教育程度均和心理需求密切相关。且陪护者防护行为正确执行率较低。Objective To study and analyze the psychological needs and influencing factors caregivers of hospitalized burn patients in semi-closed ward. Methods From January 2018 to December 2020,92 inpatients with burns in semi-closed wards and their caregivers were enrolled in this study. The psychological needs of caregivers were evaluated, and the influencing factors were analyzed by single factor and multiple linear regression. In addition, the correct implementation of protective behavior in hospitalized burn attendants was analyzed. Results The total CCFNI score of hospitalized burn attendants was(140.96±12.37). By single factor and multiple linear regression analysis available: patients age 45 years old or less, the caregivers of monitoring the isolation ward, the caregivers experience for women, the caregivers and level of education high school, the total burned area of the patient was more than 10%,the degree of burn patients with severe/especially severe were the influence factors of hospitalized burn the escort CCFNI score(all P<0.05;r=0.708,r^(2)=0.501,r^(2)=0.415 after dummy variable nursing). Proper wear of masks, hand hygiene and ward ventilation of hospitalized burn attendants need to be improved. Conclusions The age of patients, burn area, burn degree, gender of escorts, experience of escorts in isolation wards and education level were closely related to psychological needs. The correct implementation rate of protective behavior was lower in hospitalized burn attendants.

关 键 词：半封闭病房 烧伤患者 陪护者 心理需求 影响因素 

分 类 号：R473.6[医药卫生—护理学]