早期干预对中重度烧烫伤患儿预后的影响研究<br />-《中国美容医学》

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Title:: Effect of Early Intervention on Prognosis of Children with Moderate to Severe Burns
and Scalds

文章编号:: 1008-6455（2020）11-0167-04

作者:: 张新; 魏莉

Author(s):: ZHANG Xin; WEI Li

关键词:: [关键词]中重度烧烫伤; 早期干预; 生活质量; 创面愈合; 躯体功能

Keywords:: Key words: moderate to severe burns and scalds; early intervention; quality of life; wound healing; body function

分类号:: R473.6

文献标志码:: B

摘要:: [摘要]目的：探究早期干预对中重度烧烫伤患儿创面愈合指数、外观形态及躯体功能的影响。方法：将笔者医院外科重症监护室
收治的66例中重度烧烫伤患儿随机分为观察组及对照组，每组33例。对照组采用常规专科护理，观察组在对照组基础上进行早期
干预，两组均护理30d。比较两组干预后创面愈合相关指数、临床疗效；比较两组干预前后的生活质量评分及护理满意度。
结果：干预后，观察组总有效率（96.97%）高于对照组（72.73%），差异有统计学意义（P ＜0.05）。干预后，观察组的创
面平均愈合时间、创面皮肤血运恢复时间均短于对照组，差异有统计学意义（P ＜0.05）。与干预前相比，干预后两组的一
般健康状况、躯体功能、心理功能和社会关系评分均升高，且观察组高于对照组，差异有统计学意义（P ＜0.05）。干预过
程中，观察组患儿及家长护理满意度（90.91%）高于对照组（69.70%），差异有统计学意义（P＜0.05）。结论：早期干预在
烧烫伤专科护理辅助下，强调中重度烧烫伤患儿的身心康复，能够提高生活质量，改善患儿预后，提高护理满意度。

Abstract:: Abstract: Objective To explore the effect of early intervention on wound healing index, appearance and body function in
children with moderate and severe burns. Methods 66 childrens with moderate and severe burns admitted to the surgical
intensive care unit of our hospital were randomly divided into the observation group and the control group, 33 cases in each
group. The control group received routine specialized nursing, the observation group received early intervention on the basis
of the control group, both groups received nursing for 30 days. The wound healing related index, clinical effect after
intervention were compared between the two groups. The quality of life score and nursing satisfaction of the two groups
before and after the intervention were compared. Results After intervention, the total effective rate of the observation
group (96.97%) was higher than that of the control group (72.73%), the difference was statistically signifi cant (P ＜0.05).
After intervention, the average wound healing time and skin blood circulation recovery time of the observation group
were shorter than that of the control group (P ＜0.05). After the intervention, the scores of general health status, physical
function, psychological function and social relationship of the two groups were increased, and the observation group was
higher than the control group (P ＜0.05). During the intervention, the nursing satisfaction of the observation group (90.91%)
was higher than that of the control group (69.70%, P ＜0.05). Conclusion Early intervention with the assistance of specialized
nursing for burn, emphasizes the physical and mental recovery of children with moderate and severe burns, which can improve
the quality of life, improve the prognosis of children, improve the satisfaction of nursing.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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