“321”健康教育模式在面部瘢痕修复患者中的应用及对认知偏差与应对方式的影响  

Application of 321 Health Education Model in Patients Undergoing Facial Scar Repair and Its Influence on Cognitive Bias and Coping Style

作　　者：刘斐 刘静[1] 蔡大英 张丽娟[1] LIU Fei;LIU Jing;CAI Daying;ZHANG Lijuan(Department of Dermatology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院皮肤科,新疆乌鲁木齐830000

出　　处：《中国美容医学》2024年第12期51-54,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究“321”健康教育模式在面部瘢痕修复患者中的应用及对认知偏差、应对方式的影响。方法:选取2020年7月-2022年7月笔者医院收治的120例面部瘢痕修复患者,随机数字表法将患者分为对照组和观察组,每组60例,两组患者均予以修复术后常规护理,在此基础上对照组予以患者常规健康教育模式干预,观察组患者予以“321”健康教育模式。比较两组患者恢复情况、认知偏差、应对方式及生活质量。结果:观察组患者创面愈合时间、皮肤血运恢复时间显著短于对照组(P<0.05),观察组患者瘢痕定量评分显著低于对照组(P<0.05);干预后两组抑郁-歪曲、抑郁-非歪曲、非抑郁-歪曲评分均显著降低,且组间比较观察组显著更低(P<0.05);干预后两组非抑郁-非歪曲评分显著升高,且组间比较观察组显著更高(P<0.05);干预后两组屈服、回避评分均显著降低,且组间比较观察组显著更低(P<0.05);干预后两组面对评分显著升高,且组间比较观察组显著更高(P<0.05);干预后两组生理领域、心理领域、社会关系领域及总体健康状态评分均显著升高,且组间比较观察组显著更高(P<0.05)。结论:“321”健康教育模式利于面部瘢痕修复患者恢复,改善患者认知偏差,利于患者采用积极应对方式,提高患者生活质量,具有临床应用价值。Objective The purpose of this study was to investigate the application of 321 health education model in patients undergoing facial scar repair,and its influence on cognitive bias and coping style.Methods A total of 120 patients who underwent facial scar repair in the hospital from July 2020 to July 2022 were randomly assigned to the control group and the observation group with 60 patients in each group.Both groups were given routine nursing after repair.On this basis,the control group received routine health education,while the observation group received 321 health education.Recovery,cognitive bias,coping style and quality of life of the two groups were comparatively analyzed.Results Wound healing time and recovery time of skin blood supply in the observation group were significantly shorter than those in the control group(P<0.05).The scar quantitative score in the observation group was significantly lower than that in the control group(P<0.05).After intervention,the scores for depression-distortion,depression-non-distortion and non-depression-distortion in the two groups decreased significantly,and the observation group had lower scores than the control group(P<0.05).The non-depression-non-distortion scores of the two groups increased significantly,and the observation group had higher score than the control group(P<0.05).The scores for yielding and avoidance in the two groups decreased significantly,and the observation group had lower scores than the control group(P<0.05).Facing scores of the two groups increased significantly,and the observation group had higher score than the control group(P<0.05).The scores for physiological domain,psychological domain,social relations and overall health in the two groups increased significantly(P<0.05),and the observation group had higher scores than the control group(P<0.05).Conclusion The 321 health education model is beneficial to the recovery of patients undergoing facial scar repair.It can improve the patients’cognitive bias,promote them to adopt positive coping style

关 键 词：面部瘢痕修复 “321”健康教育模式 认知偏差 应对方式 生活质量 

分 类 号：R473[医药卫生—护理学]