惯性运行与调度运行目标管理健康教育模式对烧伤患者不良心理情绪的影响

Effect of inertia and scheduling implementation running target management health education on adverse psychological mood in burn patients

目的 探讨实施惯性运行与调度运行目标管理健康教育模式对烧伤患者不良心理情绪的干预效应.方法 选择2010年1月至2011年12月收治的烧伤患者80例为研究对象,在进行全面病情评估,完善实施烧伤常规治疗、护理方案和措施的基础上,实施惯性运行与调度运行目标管理健康教育模式.同时于健康教育前后采用症状自评量表（SCL-90）、焦虑自评量表（SAS）和抑郁自评量表（SDS）测评患者的心理、情绪状态,比较健康教育前后患者情绪和心理状态的变化情况,以此判定实施该健康教育模式的效果.对一般资料采用描述性统计分析,计量资料采用独立样本t检验.结果 健康教育后患者SCL-90总分为（131.21±36.70）分,低于健康教育前的（152.98±53.16）分,差异有统计学意义（t=3.879,P＜0.05）.健康教育后患者SAS、SDS评分分别为（35.97±9.86）,（39.16±10.09）分,分别低于健康教育前的（45.38±10.20）,（49.16±12.79）分,差异均有统计学意义（t值分别为4.013,4.020;P＜0.05）.结论 对烧伤患者采用惯性运行与调度运行目标管理健康教育模式进行健康教育,可提高患者心理健康水平,缓解其焦虑、抑郁不良情绪状态,提高生活质量.

Objective To investigate the intervention effect of inertia and scheduling implementation running target management health education on adverse psychological mood in burn patients. Methods Eighty patients with burn from January 2010 to December 2011 were chosen. The patients received the inertia and scheduling implementation running target management health education on the basis of comprehensive condition assessment, conventional treatment of burn and nursing. The Symptom Checklist-90 （ SCL-90）, Self-rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS） were used to evaluate the patients＇ psychological and emotional state. The changes of the patients＇ psychological and emotional state were compared before and after health education in order to evaluate the effect of implementing the inertia and scheduling implementation running target management health education. General information was analyzed by descriptive statistical analysis; the measurement data was expressed as mean ± standard deviation and analyzed by independent sample t test; the count data was analyzed by X2 test. Significance level c = 0. 05 was statistically significant. Results The total score of SCL-90 was （131.21 ± 36.70） after health education, which was lower than （ 152：98 ± 53.16 ） before health education, and the difference was statistically significant （ t = 3. 879, P 〈 0. 05）. The scores of SAS and SDS were respectively （ 35. 97 ± 9. 86 ）, （ 39. 16 ± 10. 09 ） after health education, which were lower than （45.38 ± 10.20）, （49. 16 ± 12.79） before health education, and the differences were statistically significant （ t = 4. 013,4. 020, respectively; P 〈 0. 05 ）. Conclusions The implementation of inertia and scheduling implementation running target management health education in patients with burn can improve the level of mental health, relieve anxiety and depression, and improve quality of life.