摘要
目的:观察全程程序化疼痛管理联合正性暗示激励干预在烧伤植皮患者中的应用效果。方法:选取笔者医院108例烧伤植皮患者为研究对象,按照随机数值表法分为观察组和对照组各54例,观察组给予烧伤植皮患者常规护理,对照组在观察组基础上加以全程程序化疼痛管理及正性暗示激励干预护理,比较两组围术期疼痛状况、干预前后心理状态、应对方式及生活质量变化。结果:术后1d,两组VAS评分比较,差异无统计学意义(P>0.05);术后3d、7d后,两组VAS评分均较术后1d显著降低,且术后7d较术后3d降低更显著,组间比较,观察组降低更明显(P<0.05)。干预1个月后,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及心理困扰量表(DM)评分均显著降低(P<0.05)。Jalowies应对方式量表中积极应对方式评分均显著升高(P<0.05),消极应对方式评分均显著降低(P<0.05),且干预后上述指标组间对比差异显著(P<0.05);干预3个月后,两组GQOLI-74各指标评分均显著升高,且干预后组间对比差异显著(P<0.05)。结论:全程程序化疼痛管理联合正性暗示激励干预可有效缓解烧伤植皮患者围术期疼痛状况,降低患者术后不良情绪,改善其应对方式,提高生活质量。
Objective To observe the application effect of whole-process programmed pain management combined with positive suggestive incentive intervention on patients with burns undergoing skin grafting.Methods Totally 108 cases of patients with burns undergoing skin grafting in our hospital were selected as the research subjects.According to the random number table method,the patients were divided into observation group and control group according to the random number table method,with 54 cases in each group.Observation group was given routine nursing for burn patients with skin grafting,and control group was additionally given whole-course programmed pain management and positive suggestive incentive intervention nursing.The perioperative pain status,changes of psychological states,coping styles and quality of life before and after intervention were compared between the two groups.Results 1 day after operation,the difference in VAS scores between the two groups was not statistically significant(P>0.05);after 3d and 7d after operation,the VAS scores of the two groups were significantly lower than that on thefirst day after surgery,and the difference was statistically significant.The decrease was more significant on the 7th day than on the 3rd day after the operation,and the decrease was more obvious in the observation group(P<0.05).After 1 month of intervention,the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Mental Distress Scale(DM)scores were significantly reduced in the two groups(P<0.05).In the Jalowies Coping Style Scale,the scores of positive coping styles were significantly increased(P<0.05),and scores of negative coping styles were significantly decreased(P<0.05),and the comparison between the above-mentioned index groups was significantly different after intervention(P<0.05,Three months later,the scores of GQOLI-74 in the two groups were significantly increased,and the contrast between the groups was significantly different after the intervention(P<0.05).Conclusion Whole-process programmed pain
作者
高佳丽
陈晓娟
GAO Jia-li;CHEN Xiao-juan(Department of Plastic Surgery(Department of Burn),West China Hospital,Sichuan University/West China School of Nursing,Chengdu 610044,Sichuan,China)
出处
《中国美容医学》
CAS
2021年第12期152-155,共4页
Chinese Journal of Aesthetic Medicine
关键词
烧伤植皮
疼痛
心里困扰
应对方式
生活质量
burns with skin grafting
pain
psychological distress
coping styles
quality of life
