基于希望与失望学说理论的心理干预对烧伤患者心理状态的影响  

Effects of Psychological Intervention Based on Hope and Disappointment Theory on the Psychological State in Burn Patients

作　　者：余雪[1] 赵飞龙 宫青香 YU Xue;ZHAO Feiong;GONG Qingxiang(Department of Burn and Plastic Wound Surgery,Fuyang People's Hospital,Fuyang 236000,Anhui,China)

机构地区：[1]阜阳市人民医院烧伤整形创面外科,安徽阜阳236000

出　　处：《中国美容医学》2023年第4期173-176,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨基于希望与失望学说理论的心理干预对烧伤患者心理状态的影响。方法:将2019年1月-2021年12月笔者医院收治的80例中度及以上烧伤稳定期患者按照随机信封法分为对照组(n=40,常规护理)和观察组(n=40,常规护理+基于希望与失望学说理论的心理干预)。比较两组护理前、护理14 d后病耻感、心理韧性、伤残接受度、创伤后应激障碍(Post-traumatic stress disorder,PTSD)风险。结果:护理14d后,观察组病耻感轻于对照组,观察组心理韧性强于对照组,观察组伤残接受度高于对照组,观察组PTSD风险低于对照组,差异均有统计学意义(P<0.05)。结论:基于希望与失望学说理论的心理干预可以帮助中度及以上烧伤稳定期患者减轻病耻感、增强烧伤后心理韧性、提高伤残接受度,降低PTSD风险,可在临床应用。Objective To explore the effects of psychological intervention based on hope and disappointment theory on the psychological state in patients with burns.Methods 80 patients with moderate burn and above in stable stage admitted to the hospital between January 2019 and December 2021 were divided into two groups according to the random envelope method,including the control group(n=40,routine nursing)and the observation group(n=40,routine nursing+psychological intervention based on hope and disappointment theory).The stigma,psychological resilience,disability acceptance and risk of post-traumatic stress disorder(PTSD)were compared between the two groups before nursing and after 14 days of nursing.Results After 14 days of nursing,the stigma of the observation group was lighter than that of the control group,and the psychological resilience was stronger than that of the control group,and the acceptance of disability of the observation group was higher than that of the control group,and the risk of PTSD was lower than that of the control group(P<0.05).Conclusion Psychological intervention based on hope and disappointment theory can help to relieve stigma,enhance post-burn psychological resilience,improve disability acceptance,and reduce the risk of PTSD in patients with moderate burn and above in stable stage.It can be used in clinical practice.

关 键 词：希望与失望学说 心理干预 中度及以上烧伤 病耻感 伤残接受度 心理韧性 创伤后应激障碍 

分 类 号：R473.6[医药卫生—护理学]