行为转变理论指导下康复护理在颜面部烧伤后瘢痕整形患者中的应用  

Application of rehabilitation nursing under the guidance of behavioral transformation theory in scar plastic surgery patients after facial burns

作　　者：龚翔[1] 陆吉吉 GONG Xiang;LU Ji-ji(Skin Burn Plastic Surgery Department,Jiaozuo People's Hospital,Henan Province,454002,China)

机构地区：[1]焦作市人民医院皮肤烧伤整形科,河南焦作454002

出　　处：《中国医疗美容》2024年第2期93-96,共4页China Medical Cosmetology

摘　　要：目的探讨行为转变理论指导下康复护理在颜面部烧伤后瘢痕整形患者中应用效果。方法选取焦作市人民医院皮肤烧伤整形科2021年2月至2022年6月收治的40例颜面部烧伤后瘢痕整形患者为研究对象,在常规护理的基础上采用行为转变理论指导下的康复护理。采用伤残接受度量表(ADS-R)调查患者干预前后的伤残接受程度,采用医学应对方式问卷(MCMQ)调查患者干预前后的应对方式变化,并采用简烧伤健康量表(BSHS-B)调查患者干预前后的生活质量,同时调查患者的护理满意度。结果该组患者干预后的ADS-R量表评分高于干预前,MCMQ中的积极应对评分干预前,消极应对评分低于干预前,差异有统计学意义(P<0.05)。该组患者干预后的BSHS-B量表评分高于干预前,差异有统计学意义(P<0.05)。该组患者的整体护理满意度为100%(40/40)。结论行为转变理论指导下的康复护理能够转变颜面部烧伤整形患者的应对方式,提高伤残接受程度和生活质量,提升护理满意度。Objective To explore the application effffect of rehabilitation nursing under the guidance of behavior change theory in scar plastic surgery patients after facial burns.Method Forty patients with facial burn scar plastic surgery admitted to the Skin Burn Plastic Surgery Department of Jiaozuo People's Hospital from February 2021 to June 2022 were selected as the research subjects.Rehabilitation nursing guided by behavior change theory was adopted on the basis of routine nursing.The Disabilit y Acceptance Scale(ADS-R)was used to investigate the degree of disability acceptance of patients before and after intervention.The Medical Coping Style Questionnaire(MCMQ)was used to investigate the changes in patients'coping styles before and after intervention.The Simple Burn Health Scale(BSHS-B)was also used to investigate the quality of life of patients before and after intervention,as well as their nursing satisfaction.The results showed that the ADS-R scale score of this group of patients after intervention was higher than before intervention,and the positive coping score in MCMQ was lower before intervention,while the negative coping score was lower than before intervention,with a statistically signifificant difffference(P<0.05).The BSHS-B scale score of this group of patients after intervention was higher than before intervention,and the difffference was statistically signifificant(P<0.05).The overall nursing satisfaction of this group of patients was 100%(40/40).Conclusion Rehabilitation nursing guided by behavioral change theory can transform the coping style of facial burn plastic surgery patients,improve disability acceptance and quality of life,and enhance nursing satisfaction.

关 键 词：行为转变理论 康复护理 颜面部烧伤 瘢痕整形 伤残接受程度 

分 类 号：R473.6[医药卫生—护理学]