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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2020年5期

页码:

153-156

栏目:

出版日期:

2020-05-10

文章信息/Info

Title:

 Effect of WeChat Continuous Nursing on the Body Image Cognition and Coping
Style of Young Female Patients with Scar Plastic Surgery after Head and Face Burns

文章编号:

1008-6455（2020）05-0153-04

作者:

 刘小柳; 梁 云

Author(s):

 LIU Xiao-liu; LIANG Yun

关键词:

 [关键词]微信式延续性护理; 头面部烧伤; 瘢痕整形; 青年女性; 应对方式; 体象认知; 负性情绪

Keywords:

 Key words: Wechat continuous nursing;  head and face burns;  scar plastic surgery;  young female;  coping style;  body imagerecognition;  negative emotions

分类号:

R473.6

文献标志码:

B

摘要:

[摘要]目的：探究微信式延续性护理对头面部烧伤后瘢痕整形青年女性患者体象认知及应对方式的影响。方法：选取笔者
医院2017年1月-2018年3月收治的面部烧伤后瘢痕整形青年女性患者96例，随机分为对照组和观察组，每组48例。观察组采
用微信式延续性护理；对照组采用常规护理。两组均随访6个月。比较两组患者心理状态、体象认知、生活质量、应对方式
及满意度。结果：干预后，两组患者的焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating
depression scale，SDS）、体象障碍自评量表（Body image rating scale，BIRS）评分均较干预前降低，且观察组患者
的SAS、SDS及BIRS评分均低于对照组，差异有统计学意义（P ＜0.05）。干预后，两组患者的面对得分较干预前均升高，回
避、屈服得分较干预前均降低，且观察组患者的面对得分高于对照组，回避、屈服得分均低于对照组，差异均有统计学意
义（P ＜0.05）。随访结束后两组患者生活状态、心理功能、躯体功能、社会功能得分均较干预前升高，且观察组高于对照
组，差异有统计学意义（P ＜0.05）。观察组的手术效果、护理工作、生活质量、自信心满意度均高于对照组，差异有统计
学意义（P ＜0.05）。结论：微信式延续性护理可有效提高头面部烧伤后瘢痕整形青年女性患者出院后体象认知及对面部烧
伤的应对能力，进而改善其心理状态及生活质量，取得患者认可，值得临床推广应用。

Abstract:

Abstract: Objective To explore the effect of WeChat continuous nursing on the body image cognition and coping style of
young female patients with scar plastic surgery after head and face burns. Methods Between January 2017 and March 2018, 96
young female patients with scar plastic surgery after head and face burns were randomly divided into the control group (n =48)
and the observation group (n =48). The observation group was treated with WeChat continuous nursing, while the control group
was treated with routine nursing. Both groups were followed up for 6 months. The psychological state, body image cognition,
quality of life, coping style and satisfaction were compared between the two groups. Results After intervention, the scores of
self-rating anxiety scale (SAS), self-rating depression scale (SAS), and body image rating scale (BIRS) decreased, the
differences were statistically signifi cant (P ＜0.05). And the scores of SAS, SDS and BIRS the patients in the observation
group were lower than those in the control group (P ＜0.05). After intervention, the face scores of the two groups
increased, the scores of avoidance and yield decreased, and the face scores of the patients in the observation group was
higher than that in the control group, and the scores of avoida nce and yield in the observation group were lower than those
in the control group (P ＜0.05). The scores of material life state, psychological function, physical function and social function
in the observation group were higher than those in the control group (P ＜0.05). The surgical effect, nursing work, quality of life
and self-confi dence satisfaction in the observation group were higher than those in the control group (P ＜0.05). Conclusion
WeChat continuous nursing can effectively improve the body image cognition and coping ability of young female patients
with scar plastic surgery after head and face burns, so as to improve their psychological state and quality of life, and obtain the
recognition of the patients. It is worthy of clinical application.

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更新日期/Last Update: 2020-05-29