认知行为干预对面部浅表性瘢痕病人体象的影响

Influence of cognitive behavior intervention on body-image of patients with facial superficial scar

[目的]探讨认知行为干预对面部浅表性瘢痕病人体象的影响。[方法]将90例面部浅表性瘢痕病人随机分为实验组和对照组,对照组给予常规护理,实验组在常规护理基础上进行认知行为干预,采用体象障碍自评量表(BIRS)分别于干预前后对两组病人进行测试。[结果]实验组干预后BIRS总分低于对照组(P<0.01),BIRS各项目评分低于干预前。[结论]认知行为干预能改善面部浅表性瘢痕病人的体象困扰,提高满意度,对促进病人身心康复有重要意义。

Objective： To probe into the effect of cognitive behavior intervention on body - image of patients with facial superficial scar. Method： A total of 90 patients with facial superficial scar were divided into test and control group. Patients in control were given nursing care as in routine. Patients in test group were offered cognitive behavior intervention based on the routine nursing care. All patients of the two groups were measured by adopting body- image disorder self-rating scale （BIRS） before and after intervention. Result： The total score of BIRS of test group cases after intervention was lower than that of control group （P〈0.01）. Each item score of BIRS of test group cases after interven- tion was lower than that of before intervention. Conclusion： Cognitive behavior intervention can improve the puzzles toward body- image of patients with facial superficial scar and enhance their satisfaction degree, which is important for promoting both physical and psychological rehabilitation of these cases.