大面积深度烧伤合并反应性精神障碍的临床特点及护理体会

CLINICAL CHARACTERISTICS OF REACTIVE MENTAL OBSTACLE COMPLICATION OF MASSIVE DEEP DEGREE BURNS AND NURSING EXPERIENCE

目的探讨大面积深度烧伤合并反应性精神障碍的临床特点及护理措施.方法分析17例大面积深度烧伤合并反应性精神障碍患者的临床资料并总结有关护理经验.统计学分析采用计数资料χ(2)/()检验,p<0.05具有显著性差异.结果 17例大面积深度烧伤患者,其反应性精神障碍主要发作于烧伤后5～10天;临床症状主要表现为躁狂型;深度烧伤面积大于70%以及非手术保痂治疗和5天后手术切痂治疗的患者容易发生该并发症;积极有效的治疗和护理提高了患者的生存质量及治愈率.结论大面积深度烧伤合并反应性精神障碍的临床特点与烧伤严重程度和治疗措施有关;护理的关键在于做好心理护理、加强翻身床管理和减轻疼痛等不良刺激.

Objective To study the clinical characteristics of reactive mental obstacle complication of massive deep degree bums and nursing approaches. Methods Clinical data of 17 patients with reactive mental obstacle complication of massive deep degree bums were analyzed and nursing experience was summarized. Statistical analysis if χ^2 test was used, p value less than 0.05 will have significant difference. Results Among 17 patients with bum injury, reactive mental obstacle complication came out mainly from fifth day to tenth day after bum injury; clinical symptom mainly show mania; patients with deep degree bum area more than 70%, non-operation treatment or removing scab 5 days later after injury, more easily got this complication; It＇s important to manage the rotating bed and reduce bad stimulations such as pain. Reactive mental obstacle complication of massive deep degree burn was related to severe degree of bums and treating methods; key of nursing patients with this complication is management of rotating bed and reducing bad stimulations.