疼痛、抑郁对重度烧伤患者康复期功能康复水平的影响研究

Pain,Depression and Physical Function in Patients with Severe Burns During Rehabilitation

目的探讨疼痛、抑郁对重度烧伤患者功能康复的影响。方法选取2005年1月至2011年12月在成都军区总医院住院的重度烧伤患者共96例,所有患者分别在出院后1个月、1年和2年,采用SF-36健康调查量表、Beck抑郁问卷(BDI)进行调查,并分析疼痛、抑郁和功能康复三者之间的关系。结果重度烧伤患者的疼痛水平和功能康复水平在出院后2年改善明显,而患者的抑郁得分改善不明显。随着时间推移,疼痛和抑郁水平与患者的功能康复水平相关。结论疼痛和抑郁是影响重度烧伤患者功能康复水平的危险因素。对烧伤患者实施康复护理干预时,可根据个体的疼痛、抑郁水平,制定针对性的干预措施,以期达到较好的功能康复水平。

Objective To explore the correlations between pain,depression and physical function in patients with severe burns during rehabilitation period.Methods 96 patients were investigated by SF-36 and Beck depression inventory after discharged from hospital at 1 month,1year and 2years.Results In the study,pain and physical function improved after discharged 2years from hospital,whereas depression levels were stable.Pain and depression were associated with poor physical function over time.Conclusion Pain and depression represents risk factors for severe burn patients.Medical staff should make personal rehabilitation plans according to pain and depression levels of patients,so as to achieve better psychological and physical function.