以护士为中心的多学科协作护理对脸部烧伤患者的影响  

effect of nurse-centered multidisciplinary collaborative nursing on patients with facial burns

作　　者：卢莉莉 徐湾 朱文静 藏雪莹 陈卉 王伟芳 高来娣 王丽晖[1] LU Lili;XU Wan;ZHU Wenjing;ZANG Xueying;CHEN Hui;WANG Weifang;GAO Laidi;WANG Lihui(Department of Burns,the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学第一附属医院烧伤科,江西南昌330006

出　　处：《检验医学与临床》2024年第15期2279-2282,2287,共5页Laboratory Medicine and Clinic

基　　金：江西省中医药管理局科技计划项目(SZYYB20224806、2020A0134)。

摘　　要：目的探讨以护士为中心的多学科协作护理对脸部烧伤患者的影响。方法选取该院2022年5月至2023年6月收治的62例脸部烧伤患者作为研究对象,采用随机数字表法分为常规组和研究组,每组31例。常规组患者仅给予常规护理,研究组患者采用以护士为中心的多学科协作护理模式。比较两组患者护理前后心理状态、疼痛程度、炎症因子水平、创面恢复情况及生活质量。结果两组患者护理前焦虑自评量表(SAS)、自尊量表(SES)、视觉模拟评分法(VAS)评分比较均无差异;研究组患者护理后SAS、VAS评分均明显低于常规组,SES评分明显高于常规组,差异均有统计学意义(P<0.05)。两组患者护理前白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平比较均无差异;研究组患者护理后IL-6、TNF-α水平均明显低于常规组,差异均有统计学意义(P<0.05)。研究组患者创面缩小率明显高于常规组,创面愈合时间明显短于常规组,差异均有统计学意义(P<0.05)。两组患者护理前生活质量(4个方面)比较均无差异。研究组患者护理后心理、生理及社会关系维度评分均明显高于常规组,差异均有统计学意义(P<0.05);两组患者护理后环境维度评分比较无差异。结论以护士为中心的多学科协作护理能有效缓解脸部烧伤患者心理应激及疼痛,降低患者炎症因子分泌,促进患者创面愈合,提高其生活质量。Objective To explore the effects of nurse-centered multidisciplinary collaborative nursing on patients with facial burns.Methods A total of 62 patients with facial burns admitted to the hospital from May 2022 to June 2023 were selected as the research objects,and they were divided into conventional group and study group by random number table method,with 31 cases in each group.Patients in the conventional group were only given routine nursing,while patients in the study group were given nurse-centered multidisciplinary collaborative nursing model.The psychological state,pain degree,inflammatory factor levels,wound recovery and quality of life were compared between the two groups before and after nursing.Results There was no statistically significant difference in the scores of self-rating Anxiety Scale(SAS),self-esteem scale(SES)and visual analogue scale(VAS)between the two groups before nursing.After nursing,the SAS and VAS scores of the study group were significantly lower than those of the conventional group,and the SES score was significantly higher than that of the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)between the two groups before nursing.The levels of IL-6 and TNF-αin the study group were significantly lower than those in the conventional group after nursing,and the differences were statistically significant(P<0.05).The wound reduction rate of the study group was significantly higher than that of the conventional group,and the wound healing time was significantly shorter than that of the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the 4 aspects of quality of life between the two groups before nursing.The scores of psychological,physiological and social relations dimensions in the study group were significantly higher than those in the conventional group after n

关 键 词：以护士为中心的多学科协作护理 脸部烧伤 心理状态 疼痛程度 炎症因子 创面恢复情况 生活质量 

分 类 号：R473.6[医药卫生—护理学] R644[医药卫生—临床医学]