摘要
[目的]探讨积极减压训练对于颜面部严重烧伤病人社交回避、苦恼、歧视感及对伤残接受度的影响。[方法]选择我院烧伤整形外科2013年6月—2015年6月收治的颜面部烧伤病人为研究对象,按双盲抽签法分为研究组80例与对照组76例;研究组进行积极的减压训练,对照组仅进行一般访视。比较两组病人干预前后的伤残接受度量表(AODS)评分、社交回避及苦恼量表(SADS)评分、歧视感评分、莫氏生命质量健康调查量表(SF-36)评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。[结果]干预后研究组AODS得分较干预前明显上升(t=-3.378,P<0.05),且明显高于对照组干预后得分(t=4.462,P<0.05)。干预后研究组社交回避、苦恼、歧视感评分及SAS、SDS评分较干预前均显著下降(P<0.05),且明显低于对照组,差异均有统计学意义(P<0.05)。其SF-36得分较干预前显著提高(P<0.05),且显著高于对照组(P<0.05)。而对照组干预后各项得分均未得到明显改善(P>0.05)。[结论]积极的减压训练有助于提高颜面部烧伤病人对伤残的接受水平,消除病人的不良情绪,降低社交回避、苦恼和受歧视的感受,从而提高社会适应能力。
Objective:To explore the effects of active decompression training on social avoidance,distress,discrimination and disability acceptance in severely facial burned patients.Methods:Facial burn patients in the Department of burning and plastic surgery of the hospital from Jun 2013 to Jun 2015 were chosen as the research objects,and they were divided into intervention group(80cases)and control group(76cases)according to double-blind lottery method.The patients in intervention group were given positive decompression training,while the patients in control group were given general visit only.The scores of the Acceptance of Disability Scale(AODS),Social Avoidance and Distress Scale(SADS),discrimination sense,the MOS item short from health survey,SF-36(SF-36),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared before and after the intervention.Results:After the intervention,the AODS scores in intervention group were significantly increased(t=3.378,P<0.05),higher than that in control group(t=4.462,P<0.05).The social avoidance,distress,discrimination,SAS,SDS scores in intervention group were significantly decreased after intervention(P<0.05),and the scores were significantly lower than those in control group(P<0.05).The SF-36 score of the intervention group was significantly increased than before the intervention(P<0.05)and was significantly higher than that in control group,the difference was statistically significant(P<0.05).In the control group,the three scores were not significantly improved(P>0.05).Conclusions:Active decompression training was helpful to improve the level of acceptance of disability in patients with facial burn,remove the negative mood and reduce the social avoidance,distress,and discrimination perception,so as to improve their ability of social adaptation.
出处
《护理研究（上旬版）》
2017年第8期2741-2745,共5页
Chinese Nursing Researsh
关键词
烧伤
颜面部
积极减压训练
社交回避
社交苦恼
歧视感
伤残接受度
burn
facial
active decompression training
social avoidance
social distress
discrimination
disability acceptance
