摘要
目的观察心理护理对Ⅱ-Ⅲ度烧伤患者中临床疗效的观察。方法将2012年1月至2014年1月于我科住院治疗的83例重度烧伤(Ⅱ-Ⅲ度)患者,根据随机数字表格发将其随机分为对照组和观察组,其中对照组40例,观察组43例。对照组予以烧伤后的常规护理的方式;观察组在常规护理的基础上,根据患者不同的心理特点,采用相应心理护理,两组护理时间均为2周。评估对比每组患者在护理干预前后的焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分,以及护理干预结束后患者对我科医护人员的满意度调查。结果两组患者护理前SAS、SDS评分组间对比,差异无统计学意义(P>0.05)。对照组护理干预后SAS、SDS评分较护理干预前略有降低,差异无统计学差异(P>0.05);观察组护理干预后SAS、SDS评分较护理干预前显著降低,且差异有统计学意义(P<0.05)。护理干预后观察组SAS、SDS评分与对照组的评分对比,观察组评分明显较低,且差异有统计学意义(P<0.05)。观察组护理干预后患者满意度为100%,对照组为75%,组间对比差异具有统计学意义(P<0.05)。结论在常规护理干预的基础上增加心理护理,对改善Ⅱ-Ⅲ度烧伤患者的焦虑、抑郁等心理问题具有更明显效果,可以提高患者的护理满意度,有利于病情和患者心理状态的恢复。
Objective To investigate the clinical curative effect of psychological nursing care on II- III degree burn patients. Methods 83 cases of severe burn（Ⅱ- Ⅲ degrees）patients were recruited in our hospital from from January 2012 to January 2014 for this research. According to random number table method,all the patients in the study were divided into the control group and the observation group,40 cases of the control group while 43 cases of the observation group. The control group were received the routine nursing intervention for 2 weeks,while the observation group were given psychological nursing intervention besides the routine nursing for 2 weeks. Before and after nursing intervention,SAS and SDS of the two groups were evaluated and compared. After nursing intervention,nursing satisfactions of the two groups were evaluated and compared. Results There was no statistical difference of all the scales mentioned above between the two groups before nursing intervention（P〉0.05）. After nursing intervention,compared with before it,the scores of SAS,SDS were much lower in the observation groups,andthe differences had statistical significance（P〈 0.05）,while the scores of SAS,SDS in the control group showed no statistical significance（P〉0.05）. And compared with the control group,the scores of SAS,SDS of the observation group were much lower,all the differences had statistical significances（P〈0.05）. After nursing intervention,the nursing satisfaction of the observation group（100%）was much higher than that of the control group（75%）,and the difference had statistical significance（P〈0.05）. Conclusion The psychological nursing intervention on the basis of the routine nursing can be more effective to improve the anxiety and depression mood of the patients with II-III degree burn and their nursing satisfactions. It’s very helpful to the recovery of the disease and the bad mental states.
出处
《国际精神病学杂志》
2016年第3期572-574,576,共4页
Journal Of International Psychiatry
基金
四川省医学会青年创新课题(编号:Q14059)
关键词
心理护理
烧伤
临床疗效
Psychological care
Burns
Clinical curative effect
