基于行动研究法的健康管理联合VSD对深度烧伤患者心理状态及创面修复效果的影响

Influence of Action Research Method-based Health Management Combined with Vacuum Sealing Drainage Technology on Psychological State and Wound Repair Effect of Patients with Deep Burn

目的:探究基于行动研究法的健康管理联合负压封闭引流(Vacuum sealing drainage,VSD)技术对深度烧伤患者心理状态及创面修复效果的影响。方法:选取2021年9月-2023年6月笔者科室收治的98例深度烧伤患者,经随机单双号法分为常规组(单号,n=49)和行动法组(双号,n=49),两组均实施VSD技术治疗,常规组采用常规护理干预,行动法组采用基于行动研究法的健康管理。比较两组患者疾病认知水平、负性情绪[自我感受负担量表(Self-perceived burden scale,SPBS)]、伤残接受度[伤残接受度量表(Acceptance of disability scale,AODS)]、生活质量[中文版精简烧伤健康量表(Burn specific health scale-brief,BSHS-B)]、创面美观度[温哥华瘢痕量表(Vancouver scar scale,VSS)]评分及护理满意度。结果:干预后,行动法组患者对疾病的认知情况评分、AODS、BSHS-B评分及护理满意度均高于常规组,SPBS、VSS评分均低于常规组,差异均有统计学意义(P<0.05)。结论:对行VSD治疗的深度烧伤患者采用基于行动研究法的健康管理,可明显提高患者的疾病认知和伤残接受度,调节其负性情绪,利于创面外观恢复及生活质量提升,患者满意度较高,值得推荐。

Objective To explore the influence of action research method-based health management combined with vacuum sealing drainage(VSD)technology on psychological state and wound repair effect of patients with deep burn.Methods 98 patients with deep burns admitted to the author's department from September 2021 to June 2023 were selected and assigned into conventional group(odd number,n=49)and action method group(even number,n=49)by random odd-even number method.All patients were treated with VSD technology,and the conventional group was given conventional nursing intervention while the action method group was treated with action research method-based health management.The disease cognition level,negative emotions[self-perceived burden scale(SPBS)],disability acceptance[acceptance of disability scale(AODS)],quality of life[burn specific health scale-brief(BSHS-B)],wound aesthetics[Vancouver scar scale(VSS)]and nursing satisfaction were compared between the two groups.Results After the intervention,the disease cognition score,AODS score,BSHS-B score and nursing satisfaction of the action method group were higher than those of the conventional group,and the SPBS and VSS scores were lower than those of the conventional group,and the differences were statistically significant(P<0.05).Conclusion Action research method-based health management for patients with deep burns undergoing VSD can significantly enhance the disease cognition and disability acceptance,regulate the negative emotions,and facilitate the recovery of wound appearance and the improvement of quality of life,and it has high satisfaction.