特殊部位深度烧伤患者自尊和社会支持与病程不同时期心理健康状况的相关性分析  

Correlation analysis of self-esteem,social support and mental health status of patients with special deep burns at different stages

作　　者：陈滢 刘青山 颜浩 刘明禹 谢伟波 马兵[1] CHEN Ying;LIU Qingshan;YAN Hao;LIU Mingyu;XIE Weibo;MA Bing(Department of Burn Surgery,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China;Graduate School,Naval Medical University(Second Military Medical University),Shanghai 200433,China;Beidaihe Rehabilitation and Recuperation Center,Joint Logistics Support Force of PLA,Qinhuangdao 066199,Hebei,China)

机构地区：[1]海军军医大学(第二军医大学)第一附属医院烧伤外科,上海200433 [2]海军军医大学(第二军医大学)研究生院,上海200433 [3]中国人民解放军联勤保障部队北戴河康复疗养中心,秦皇岛066199

出　　处：《海军军医大学学报》2024年第8期1016-1021,共6页Academic Journal of Naval Medical University

摘　　要：目的探讨特殊部位深度烧伤患者自尊和社会支持与病程不同时期心理健康状况的相关性。方法选择2020年1月至2023年9月海军军医大学(第二军医大学)第一附属医院烧伤科收治的36例外观和功能部位深度烧伤住院患者进行调查。分别于受伤7 d内(病程早期)、创面封闭时(康复早期)和创面封闭后3个月时(康复后期)发放焦虑自评量表(SAS)、抑郁自评量表(SDS)、平时版创伤后应激障碍(PTSD)检查表(PCL-C)、罗森伯格自尊量表(RSES)、领悟社会支持量表(PSSS)对患者进行评估,收集数据并剔除无效资料后进行统计分析。结果共36例患者有效完成全部量表评估。特殊部位深度烧伤患者在病程不同时期均存在焦虑、抑郁、PTSD症状,并且伴焦虑、抑郁、PTSD症状的患者例数随着病程推进均呈下降趋势。康复早期RSES得分与病程早期SAS得分(r_(s)=0.412,P=0.013)、SDS得分(r_(s)=0.347,P=0.038)、PCL-C得分(r_(s)=0.447,P=0.006)均呈正相关,而与康复早期及康复后期SAS、SDS、PCL-C得分无相关关系(均P>0.05)。康复早期PSSS得分与病程早期SAS、SDS、PCL-C得分及康复早期SAS、PCL-C得分无相关关系(均P>0.05),而与康复早期SDS得分(r=-0.430,P=0.009)及康复后期SAS得分(r=-0.467,P=0.004)、SDS得分(r=-0.483,P=0.003)、PCL-C得分(r_(s)=-0.351,P=0.036)均呈负相关。结论特殊部位深度烧伤患者病程中存在焦虑、抑郁、PTSD等心理问题。自尊越强的患者在烧伤病程早期越容易出现心理问题,社会支持越高的患者在烧伤康复后期越不容易出现心理问题。Objective To explore the correlations between self-esteem,social support and mental health status of patients with deep burns at special sites at different stages of the disease course.Methods A total of 36 inpatients who were admitted to Department of Burn Surgery of The First Affiliated Hospital of Naval Medical University(Second Military Medical University)between Jan.2020 and Sep.2023 were enrolled.The patients were assessed with self-rating anxiety scale(SAS),self-rating depression scale(SDS),post-traumatic stress disorder(PTSD)checklist-civilian version(PCL-C),Rosenberg self-esteem scale(RSES),and perceived social support scale(PSSS)within 7 d of burns(early stage of disease),at wound closure(early rehabilitation stage),and 3 months after wound closure(late rehabilitation stage).The data were collected and invalid data were excluded for statistical analysis.Results A total of 36 patients effectively completed all the scales.There were anxiety,depression and PTSD in patients with deep burns at special sites at different stages of the disease course,and the number of burn patients with anxiety,depression and PTSD showed a downward trend with the course of disease.The RSES score at the early rehabilitation stage was positively correlated with SAS score(r_(s)=0.412,P=0.013),SDS score(r_(s)=0.347,P=0.038)and PCL-C score(r_(s)=0.447,P=0.006)at the early stage of disease,but not with SAS,SDS,or PCL-C scores at the early and late rehabilitation stages(all P>0.05).There were no correlations between PSSS score at the early rehabilitation stage and SAS,SDS,or PCL-C scores at the early stage of disease or SAS or PCL-C scores at the early stage of rehabilitation(all P>0.05),but there were negative correlations between PSSS score at the early rehabilitation stage and SDS score at the early stage of rehabilitation(r=-0.430,P=0.009)and SAS score(r=-0.467,P=0.004),SDS score(r=-0.483,P=0.003),and PCL-C score(r_(s)=-0.351,P=0.036)at the late stage of rehabilitation.Conclusion Anxiety,depression,and PTSD are observed in patien

关 键 词：特殊部位烧伤 康复 心理健康 自尊 社会支持 

分 类 号：R644[医药卫生—外科学] R395.6[医药卫生—临床医学]