基于聚焦解决模式的护理干预对颜面部烧伤患者负面情绪及创伤后成长的影响  

Influence of a nursing intervention based on the focused solution model in patients with facial burns

作　　者：姜晓燕 金鑫 王楠楠 JIANG Xiaoyan;JIN Xin;WANG Nannan(Joint Service Support Force 990 Hospital Burn Department,Zhumadian 463000,Henan,China)

机构地区：[1]联勤保障部队第九九〇医院烧伤科,河南驻马店463000

出　　处：《中国校医》2024年第5期364-368,共5页Chinese Journal of School Doctor

摘　　要：目的探讨基于聚焦解决模式的护理干预在颜面部烧伤患者中的应用价值。方法选择2020年10月—2022年10月本院收治的颜面部烧伤患者94例,按随机数字表法分为2组。对照组(47例)实施常规护理干预,观察组(47例)实施基于聚焦解决模式的护理干预,2组均干预8周。对比分析2组负面情绪、社交回避及苦恼、创伤后成长和生活质量。结果干预后,观察组与对照组焦虑自评量表(SAS)评分,抑郁自评量表(SDS)评分,社交回避及苦恼量表(SADS)评分,C-PTGI量表中人际关系评分、新的可能性评分、个人力量评分、精神变化评分、对生活的欣赏评分及C-PTGI总评分,SF-36量表中生理功能(PE)评分、生理职能(RP)评分、躯体功能(BP)评分、一般健康状况(GH)评分、精力(VT)评分、社会功能(SF)评分、情感职能(RE)评分、精神健康(MH)评分比较,2组之间的差异具有统计学意义(t=11.728、5.172、5.710、5.700、12.169、7.617、12.248、6.513、8.233、11.269、6.757、7.896、8.494、12.247、7.081、6.290、8.233,P均<0.001)。结论基于聚焦解决模式的护理干预能够更好地缓解颜面部烧伤患者负面情绪,减轻其对社交的回避与苦恼,改善创伤后成长水平进而提升其生活质量,临床应用价值更高。Objective To explore the value of a nursing intervention based on the focused solution model for patients with facial burns.Methods 94 patients with facial burns admitted to our hospital from October 2020 to October 2022 were randomly divided into two groups.The control group(47 cases)received a routine nursing intervention,and the observation group(47 cases)received a nursing intervention based on the focused solution model.Both groups received the intervention for 8 weeks.The negative emotions,social avoidance and distress,post-traumatic growth and quality of life of the two groups were compared and analyzed.Results After intervention,the observation group and the control group received scores on the Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS),Social Avoidance and Distress Scale(SADS),interpersonal relationship score in the C-PTGI scale,new possibility score,personal strength score,mental change score,appreciation of life score,total C-PTGI score,physiological function(PE)score,physiological function(RP)score,and physical function(BP)score in the SF-36 scale,the differences between the two groups were statistically significant(t=11.728,5.172,5.710,5.700,12.169,7.617,12.248,6.513,8.233,11.269,6.757,7.896,8.494,12.247,7.081,6.290,8.233,all P<0.001).Conclusions A nursing intervention based on the focused solution model can alleviate the negative emotions of patients with facial burns,reduce their avoidance and distress related to social interactions,improve post-traumatic growth,and improve quality of life.It has high clinical application value.

关 键 词：颜面部烧伤 聚焦解决模式 护理 负面情绪 创伤后成长 生活质量 

分 类 号：R47[医药卫生—护理学]