基于KAP的渐进性康复护理干预对颜面部烧伤患者创面恢复及心理状态的影响  

Effects of KAP-based Progressive Rehabilitation Nursing on Wound Recovery and Psychological State of Facial Burn Patients

作　　者：乔晓婷 田润苗 盛丽[1] QIAO Xiaoting;TIAN Runmiao;SHENG Li(Department of Burn and Plastic Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院烧伤整形科,新疆乌鲁木齐830054

出　　处：《中国美容医学》2024年第11期133-136,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨基于知识-信念-行为(Knowledge-attitude-practice,KAP)的渐进性康复护理治疗对颜面部烧伤患者创面恢复、自我效能及心理状态的影响。方法:选取2020年8月-2023年8月笔者医院收治的78例颜面部烧伤患者,按随机数字表法分为观察组(n=39)和对照组(n=39)。对照组采用常规护理,观察组采用基于KAP的渐进性康复护理。统计比较两组创面恢复情况、自我效能[自我效能感量表(General self-efficacy scale,GSES)]、伤残接受程度[伤残接受度量表(Acceptance of disability scale,AODS)]、心理状态[焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)]及护理满意度[纽卡斯尔护理满意量表(Newcastle nursing satisfaction scale,NSNS)]。结果:护理2个月后,观察组患者创面愈合时间、肉芽组织生长时间短于对照组(P<0.05),创面感染率低于对照组(P<0.05);观察组自我效能、伤残接受程度评分及护理满意度高于对照组(P<0.05),SAS、SDS评分低于对照组(P<0.05)。结论:基于KAP的渐进性康复护理可以促进颜面部烧伤患者创面恢复,改善患者心理状态,提高其自我效能、伤残接受程度及护理满意度。Objective To explore the effects of progressive rehabilitation nursing based on knowledge-attiture-practice(KAP)on wound recovery,self-efficacy,and psychological state of patients with facial burns.Methods A total of 78 patients with facial burns admitted to the author's hospital from August 2020 to August 2023 were selected and divided into observation group(n=39)and control group(n=39)according to the random number table method.The control group was given routine nursing,and the observation group was given progressive rehabilitation nursing based on KAP.Wound recovery,general self-efficacy scale(GSES),acceptance of disability scale(AODS),psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],and nursing satisfaction[Newcastle nursing satisfaction scale(NSNS)]were statistically compared between the two groups.Results After 2 months of nursing,the wound healing time and granulation tissue growth time of the observation group were shorter than those of the control group(P<0.05),and the wound infection rate was lower than that of the control group(P<0.05).The scores of self-efficacy,acceptance of disability and nursing satisfaction in the observation group were higher than those in the control group(P<0.05),and the scores of SAS and SDS were lower than those in the control group(P<0.05).Conclusion KAP-based progressive rehabilitation nursing can promote wound recovery,psychological state,self-efficacy,disability acceptance and nursing satisfaction in patients with facial burns.

关 键 词：渐进性康复护理 知识-信念-行为 面部 烧伤 创面恢复 自我效能 

分 类 号：R473.6[医药卫生—护理学]