康复护理联合心理干预及康复功能训练治疗大面积烧伤患者的效果观察

Clinical effectiveness of rehabilitation nursing combined with psychological intervention and rehabilitation function training for patients with large area burn

目的:观察康复护理联合心理干预及康复功能训练对大面积烧伤患者的疗效。方法:选择我院69例大面积烧伤患者,随机分为2组,对照组34例采用常规护理,观察组35例采用常规康复护理联合心理干预及康复功能训练,入组时、出院3个月后采用Zung焦虑(SAS)、抑郁(SDS)自评量表评价患者心理状态,出院3个月后采用烧伤健康专用量表(BSHS-A)评价患者的生活质量,比较2组康复效果。结果:出院3个月后,观察组SAS、SDS评分明显低于入组时及对照组(P <0. 05),对照组治疗前后比较差异无统计学意义,治疗后,观察组疤痕增生程度明显低于对照组(P <0. 05),观察组心理功能、躯体功能、社会关系和一般健康状况评分均高于对照组(P <0. 05)。结论:康复护理联合心理干预及康复功能训练可明显改善大面积烧伤患者的心理状态,提高患者的康复效果和生活质量。

Objective:To observe the clinical effectiveness of rehabilitation nursing combined with psychological intervention and rehabilitation function training for patients with large area burn.Methods:Sixty cases of extensive burn in our hospital were randomly divided into two groups.The control group of 34 cases received routine nursing,and the observation group of 35 cases received routine rehabilitation nursing combined with psychological intervention and rehabilitation function training.The psychological status of patients after admission and at 3rd month after discharge were evaluated by the Zung Self-rating Anxiety Scale(SAS)and Depression Scale(SDS),the patients'quality of life was assessed with the Burn Health Scale(BSHS-A),and the rehabilitation effects at 3rd month after discharge were compared between the two groups.Results:At 3rd month after discharge,the SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.05).The degree of scar proliferation in the observation group was significantly milder than that in the control group(P<0.05).The scores of psychological function,physical function,social relationship and general health status in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The rehabilitation nursing combined with psychological intervention and rehabilitation function training can significantly improve the psychological state of patients with extensive burns,and improve the rehabilitation effect and quality of life of patients.