首页|以应激系统理论为指导的护理干预对重度烧伤患者创伤后应激障碍及生活质量的影响

以应激系统理论为指导的护理干预对重度烧伤患者创伤后应激障碍及生活质量的影响

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目的:探讨基于应激系统理论为指导的护理干预在重度烧伤患者中的运用效果.方法:选取2020年4月—2022年7月联勤保障部队第九九〇医院收治的84例重度烧伤患者作为研究对象,按随机数表法分为观察组和对照组,每组各42例.对照组患者给予常规护理,观察组患者采用基于应激系统理论为指导的护理干预.对比两组患者创伤后应激障碍、心理状态、生活质量及护理满意度.结果:护理后,观察组患者伤后应激障碍自评量表(PTSD-SS)中的反复重现体验、警觉性增高、回避症状、社会功能受损、主观评价评分低于护理前,且观察组低于对照组,差异有统计学意义(t= 7.904、8.546、9.793、8.020、9.233,P<0.05);两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于护理前,且观察组低于对照组,差异有统计学意义(t=5.508、5.105,P<0.05);两组患者健康调查问卷(SF-36)中的情感职能、社会功能、生命活力、心理健康、精神健康、生理功能、生理职能、躯体疼痛评分高于护理前,且观察组高于对照组,差异有统计学意义(t=5.499、6.491、4.175、7.316、4.954、4.625、5.655、5.614,P<0.05).观察组患者护理满意度高于对照组,差异有统计学意义(χ2=5.550,P<0.05).结论:基于应激系统理论为指导的护理干预能够降低重度烧伤患者的创伤后应激障碍,改善心理状态与生活质量,提升护理满意度.
Effects of Nursing Intervention Guided by Stress System Theory on Post-traumatic Stress Disorder and Quality of Life in Severely Burned Patients
Objective:To explore the effect of nursing intervention guided by stress system theory in severe burn patients.Methods 84 patients with severe burns admitted to the hospital were randomly divided into two groups,with 42 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on stress system theory.Post-traumatic stress disorder,psychological status,quality of life and nursing satisfaction were compared between the two groups.Results The recurrent experience score,increased alertness score,avoidance symptom score,impaired social function score,subjective evaluation score of observation group were lower than before nursing and control group,with statistically significant difference(t=7.904,8.546,9.793,8.020,9.233;P<0.05).Self-rating anxiety scale(SDS)score,and self-rating depression scale(SDS)score in the post-care observation group were lower than before nursing and control group,with statistically significant difference(t=5.508,5.105;P<0.05).The emotional function score,social function score,life vitality score,mental health score,mental health score,physical function score,physical function score,and physical pain score in the post-nursing observation group were higher than before nursing and control group,with statistically significant difference(t=5.499,6.491,4.175,7.316,4.954,4.625,5.655,5.614;P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ2=5.550,P<0.05).Conclusion Nursing intervention based on stress system theory can reduce the post-traumatic stress disorder of severe burn patients,improve their psychological state and quality of life,and promote higher nursing satisfaction.

Severe burnStress system theoryPost-traumatic stress disorderMentalityQuality of lifeNursing satisfaction

姜晓燕

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联勤保障部队第九九〇医院烧伤科,河南 驻马店 463000

重度烧伤 应激系统理论 创伤后应激障碍 心理状态 生活质量 护理满意度

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(8)
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