摘要
目的:探讨专业护理小组干预在重度烧伤患者中的应用效果。方法:选取2016年1月-2019年1月笔者医院收治的80例重度烧伤患者为研究对象,均采用专业护理小组进行干预,比较干预前后心理状态[汉密顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密顿抑郁量表(Hamilton depression scale,HAMD)],视觉模拟评分法(Visual analogue scale,VAS)评定疼痛情况,比较上肢功能(Disabilities of the arm,shoulder and hand,DASH)评分、生活质量(SF-36)评分、治疗依从率、患者满意度及并发症发生情况。结果:干预后HAMA、HAMD、VAS、DASH评分均低于干预前,差异有统计学意义(P<0.05)。干预后患者总体健康、生理职能、机体功能、活力、社会功能、情感职能、精神健康评分均显著高于干预前,差异有统计学意义(P<0.05)。干预后治疗依从率为95.00%(76/80),满意度为97.50%(78/80),并发症发生率为5.00%(4/80)。结论:专业护理小组干预可缓解重度烧伤患者不良心理和疼痛程度,提高治疗依从性和上肢功能,减少不良事件发生率。
Objective To observe the effect of professional nursing group intervention in severe burn patients.Methods 80 patients with severe burn admitted to our hospital from January 2016 to January 2019 were selected as the research objects,and they were intervened by professional nursing group.The psychological status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],Visual analogue scale(VAS)were compared before and after the intervention.The scores of Disabilities of the arm,shoulder and hand(DASH),quality of life(SF-36),treatment compliance,patient satisfaction and complications were analyzed.Results After intervention,HAMA,HAMD,VAS,DASH scores were lower than before intervention,the differences were statistically significant(P<0.05).After the intervention,the scores of overall health,physiological function,body function,vitality,social function,emotional function and mental health were significantly higher than before(P<0.05).After the intervention,the treatment compliance rate was 95.00%,the satisfaction rate was 97.50%,and the complication rate was 5.00%.Conclusion The intervention of professional nursing group can alleviate the bad psychology and pain degree of severe burn patients,improve the treatment compliance and upper limb function,and reduce the incidence of adverse events.
作者
周敏
张秀芳
潘韦行
陈洪
黎宴伶
黄代萍
ZHOU Min;ZHANG Xiu-fang;PAN Wei-xing;CHEN Hong;LI Yan-ling;HUANG Dai-ping(Department of Burn and Plastic Surgery,Neijiang First People's Hospital,Neijiang 641000,Sichuan,China;Department of Nursing,Neijiang First People's Hospital,Neijiang 641000,Sichuan,China)
出处
《中国美容医学》
CAS
2020年第8期163-166,共4页
Chinese Journal of Aesthetic Medicine
基金
内江市科技计划项目(编号:201911)。
关键词
重度烧伤
专业护理小组干预
负性情绪
疼痛度
依从性
severe burns
professional nursing group intervention
negative emotion
pain degree
compliance
