系统性康复训练及心理干预预防手部深度烧伤后瘢痕畸形的效果

Effects of systematic rehabilitation training and mental intervention on the prevention of scar deformities of deep hand burn

目的：对手部深度烧伤后瘢痕畸形的患者采取系统性的康复训练，并加以心理干预，评价其效果。方法随机选取解放军总医院第一附属医院手部深度烧伤且瘢痕畸形患者66例，应用统计软件取随机数法将其均分为两组，其中33例患者作为观察组，采取早期预防和治疗措施，并加以心理干预；另外33例患者作为对照组，对其仅采取常规诊疗和护理措施。对比分析两组患者的康复情况、心理状态及满意度等。结果观察组患者的手部功能康复情况更好，优17例，良12例，差4例；对照组33例患者中优7例，良10例，差16例，差异有统计学意义（P〈0.01）；观察组患者生活质量得分为（81.37±4.71）分，对照组为（69.46±4.53）分，差异有统计学意义（P〈0.05）。观察组患者对护理满意度高于对照组，差异有统计学意义（P〈0.01）。结论系统的康复训练有助于手部深度烧伤的恢复，心理干预可改善患者心理健康，临床上对于此类患者应采取积极治疗措施并辅以心理干预。

Objective To apply and evaluate the effects systematic rehabilitation training on patients with scar deformity after the deep hand burn and carry out mental intervention. Methods A total of 66 patients with scar deformity after the deep hand burn were randomly admitted to either observation group （ n=33 ） or control group （n=33）. Statistical software was used for random number method. The patients of control group adopted routine treatment nursing measures and the patients of observation group received early prevention and treatment measures, and psychological intervention. We compared and analyzed the two groups of patients with rehabilitation, psychological status and satisfaction and so on. Results The patients in the observation group were better in hand function rehabilitation, excellent in 17 cases, good in 12 cases and poor in 4 cases comparing with control group, in 33 cases of the control group, it was excellent in 7 cases, good in 10 cases and poor in 16 cases（P〈0. 01）. The average SF-36 score of the observation group was （81. 37 ± 4. 71）, and that of the control group was （69.46 ±4.53）, and the patient satisfaction of the observation group was higher（P〈0. 05）. Conclusions Systematic training can benefit the recovery of hand deep burn while mental intervention can promote patients′ psychological health, so this kind of patients should be taken positive treatment interventions combined with mental intervention in clinic.