治疗与康复一体化护理模式结合心理疏导在烧伤患者中的应用<br />-《中国美容医学》

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文章编号:: 1008-6455（2021）06-0174-03

作者:: 钟莉; 刘静; 周晓倩

关键词:: [关键词]治疗与康复一体化护理模式; 心理疏导; 烧伤; 生活质量; 焦虑; 抑郁

Keywords:: Key words: treatment and rehabilitation integrated nursing mode; psychological counseling; burn; quality of life; anxiety; depression

分类号:: R473

文献标志码:: B

摘要:: [摘要]目的：分析治疗与康复一体化模式结合心理疏导在烧伤患者中的应用效果。方法：选取2016年3月-2019年4月笔者
医院收治的烧伤患者164例，按照随机数表法分为两组，两组患者均接受烧伤后常规治疗，观察组采取治疗与康复一体化
结合心理疏导模式进行干预，对照组接受常规康复治疗及健康宣教，比较两组视觉模拟评分法评分（Visual ananlogue
scoring，VAS）及瘢痕指数（Scar index，SI），采用汉密尔顿焦虑量表（Hamilton depression scale，HAMD）和汉密尔
顿抑郁量表（Hamilton depression scale，HAMD）对患者干预后的焦虑抑郁程度进行评分，采用巴式量表（Barthel
index）、简明烧伤健康量表（Burn specific health scale，BSHS-A）对患者的日常生活活动能力、生活质量进行
系统性评价。结果：观察组VAS评分、SI、创面愈合时间、HMAD评分、HAMA评分均显著低于对照组，差异有统计学意义
（P ＜0.05）；观察组Barthel评分、BSHS-A评分显著高于对照组，差异有统计学意义（P ＜0.05）；观察组并发症发生率与
对照组比较差异无统计学意义（P ＞0.05）。结论：烧伤患者实施治疗与康复一体化结合心理疏导护理模式能减轻疼痛，加
速创面愈合，减少瘢痕增生，降低抑郁焦虑等负面情绪，提高日常生活能力和生活质量。

Abstract:: Abstract: Objective To analyze the application effect of treatment and rehabilitation integrated nursing mode combined with
psychological counseling in burn patients. Methods A total of 164 burn patients treated in the hospital between March 2016
and April 2019 were selected and randomly divided into two groups. Both groups received conventional post-burn treatment.
The observation group received treatment and rehabilitation integrated nursing mode combined with psychological counseling,
while the control group received conventional rehabilitation treatment and health education. The Visual analogue scale (VAS)
scores and Scar index (SI) of the two groups were compared. The Hamilton anxiety scale (HAMA) and Hamilton depression
scale (HAMD) were used to evaluate anxiety and depression degree. Meanwhile, Barthel index and the Burn specific health
scale (BSHS-A) were used to systematically evaluate the patients’ activities of daily living and quality of life. Results The
VAS score, SI, wound healing time, HMAD score and HAMA score of the observation group were significantly lower than
those of the control group, and the differences were statistically significant(P ＜0.05). The Barthel scores and BSHS-A scores
were significantly higher than those of the control group (P ＜0.05). There was no significant difference in the incidence of
complications between the two groups (P ＞0.05). Conclusion The treatment and rehabilitation integrated nursing mode
combined with psychological counseling for burn patients can relieve pain, accelerate wound healing, inhibit scar hyperplasia,
alleviate depression and anxiety, and improve activities of daily living and quality of life.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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