综合护理对大面积烧伤患者心理行为及预后的影响

Effect of Comprehensive Nursing on Psychological Behavior and Prognosis of Patients with Large Area Burn

目的:探究综合护理对大面积烧伤患者心理行为及预后的影响。方法:选取笔者医院收治的62例大面积烧伤患者,随机分为对照组和观察组,每组31例。对照组患者予以常规护理手段,观察组患者予以综合护理,比较两组患者护理满意度、疼痛情况、抑郁及焦虑情况、生活质量、创面愈合及并发症发生情况。结果:观察组患者创面愈合时间、汉密尔顿抑郁评分(HMAD)、汉密尔顿焦虑评分(HAMA)、视觉模拟疼痛评分(VAS)、创面感染、肺部感染、压力性损伤的并发症发生率均显著低于对照组,差异具有统计学意义(P<0.05)。观察组患者创面愈合率、护理满意度评分、生活质量评分均显著高于对照组,差异具有统计学意义(P<0.05)。结论:综合护理能够促进大面积烧伤患者创面愈合,缩短愈合时间,缓解疼痛,改善患者在治疗期间的抑郁情况,降低HAMD评分。

Objective To explore the effect of comprehensive nursing on psychological behavior and prognosis of patients with large area burn.Methods 62 patients with extensive burns admitted to our hospital were randomly divided into the control group and the observation group,with 31 cases in each group.Patients in the control group were given conventional nursing methods,while patients in the observation group were given comprehensive nursing methods.The nursing satisfaction,pain,depression and anxiety,quality of life,wound healing and complications were compared between the two groups.Results The wound healing time,the scores of HMAD,hamilton anxiety(HAMA),visual analogue scale(VAS)and the incidence rates of wound infection,lung infection and stress injury complications in the observation group were signi ficantly lower than those in the control group,with statistical differences(P<0.05).The wound healing rate,the scores of nursing satisfaction and quality of life in the observation group were signi ficantly higher than those in the control group,with statistical differences(P<0.05).Conclusion Comprehensive nursing can promote wound healing of large area burn patients,shorten healing time,relieve the pain,improve depression of patients during treatment,and reduce the score of HAMD.