可视化教育模式在烧烫伤患者门诊换药的应用效果及影响因素分析

Application effect and influencing factors of the visual education model in outpatient dressing change for burn and scald patients

目的:探讨可视化教育模式对外科门诊换药烧烫伤患者中的应用及影响因素。方法:选取84例烧烫伤患者为研究对象,依据干预方式不同将患者分为对照组和观察组,每组各42例。对照组实施常规护理干预;观察组实施可视化教育模式干预。比较两组患者干预后疼痛状况[视觉模拟评分(VAS)]、心理状况[焦虑/抑郁自评量表(SAS/SDS)]、护理满意程度、并发症发生情况,并分析观察组患者发生并发症的相关因素。结果:干预后,观察组患者VAS评分、SAS、SDS评分均低于对照组(P<0.05);观察组患者并发症总发生率为4.76%,低于对照组的19.05%(P<0.05);观察组总满意度为97.62%,高于对照组患者的80.95%(P<0.05);相关因素分析显示,年龄、学历、吸烟/喝酒是导致可视化教育模式在烧烫伤患者外科门诊换药中发生并发症的危险因素(P<0.05)。结论:可视化教育模式能够有效减轻烧烫伤患者外科门诊换药的疼痛状况及负性心理程度,并可明显减少并发症发生,提高患者满意度。

Objective:To explore the application of visual education mode in surgical outpatient dressing change burn patients and analyze the influencing factors.Methods:A total of 84 patients with burns and scalds were selected as the research subjects,and they were divided into a control group and an observation group based on different intervention methods,with 42 cases in each group.The control group received standard nursing care,while the observation group received an intervention using a visual education model.The pain status[visual analog scale(VAS)],psychological status[self rating anxiety/depression scale(SAS/SDS)],nursing satisfaction,and incidence of complications after intervention were compared between two groups,and the related factors of complications in the observation group were analyzed.Results:After intervention,the VAS,SAS,and SDS of the observation group patients were lower than those of the control group patients(P<0.05).The incidence of complications in the observation group was 4.76%,which was lower than 19.05%in the control group(P<0.05).The overall satisfaction rate(97.62%)in the observation group was higher than that of 80.95%in the control group patients(P<0.05).Relevant factor analysis showed that the age,education level,smoking/drinking were risk factors for complications of visual education mode in surgical outpatient dressing changes for burn patients(P<0.05).Conclusion:The visual education model can effectively alleviate the pain and negative psychological level of dressing changes in surgical outpatient departments for burn and scald patients,and significantly reduce the occurrence of complications,gaining high praise from more patients.