阶梯式心理干预在慢性创伤截趾(肢)患者中的应用及疗效
Application and therapeutic effect of stepwise psychological intervention in patients with chronic traumatic amputation of toes(limbs)
邓虹漪 1顾黎军 1张雯雯 1高燕飞1
作者信息
- 1. 南京医科大学附属常州第二人民医院烧伤整形科,江苏常州,213000
- 折叠
摘要
目的 探讨阶梯式心理干预在慢性创伤截趾(肢)手术患者中的应用效果及对心理应激反应的影响.方法 选择 2021 年 3 月—2022 年 6 月在南京医科大学附属常州第二人民医院烧伤整形科慢性创伤截趾(肢)手术患者 60 例为研究对象,信封法随机分为两组各 30 例.对照组采取常规护理干预,观察组联合阶梯式心理干预,两组均接受 6 周干预,比较两组自我防护意识、希望水平、心理应激反应、术后并发症及满意度情况.结果 干预 6 周后,观察组自我防护能力测定量表(ESCA)中自我认知、健康知识、自我责任感及自护技能和Herth希望量表(HHI)中态度、行动和亲密关系得分高于对照组(P<0.05);观察组心理压力测试量表(PSTR)、汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)得分低于对照组(P<0.05);两组术后创面感染、患肢疼痛及皮肤坏死情况比较,无统计学差异(P>0.05);观察组干预 6 周的满意度高于对照组(P<0.05).结论 阶梯式心理干预用于慢性截趾(肢)手术患者中,能增强患者自我防护意识和心理水平,降低心理应激反应,且未增加术后并发症发生率,可获得更高的满意度,值得临床推广应用.
Abstract
Objective To explore the application effect of stepwise psychological intervention in patients undergoing chronic invasive toe amputation surgery and its impact on psychological stress response.Methods Sixty patients who underwent chronic invasive toe(limb)amputation surgery from March 2021 to June 2022 in Burn Plastic Surgery Department,Changzhou Second People's Hospital,Nanjing Medical University were selected as the subjects,and were divided into two groups using the envelope method,with 30 cases in each group.The control group received routine nursing care,while the observation group received a combination of stepwise psychological intervention.Both groups completed a 6-week intervention.The self-protection awareness,hope level,psychological stress response,postoperative complications and satisfaction of the two groups were compared.Results After 6 weeks of intervention,the observation group had higher scores in terms of self-awareness,health knowledge,sense of responsibility,self-care skills,and attitude,action and intimacy in the Self Protection Ability Assessment(ESCA)and the Herth Hope Scale(HHI)compared with the control group(P<0.05).After 6 weeks of intervention,the psychological stress test scale(PSTR),Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores of the observation group were lower than those of the control group(P<0.05).There were no statistically significant differences in postoperative wound infection,phantom limb pain,and skin necrosis between the two groups(P>0.05).The satisfaction level of the observation group after 4 weeks of intervention was higher than that of the control group(P<0.05).Conclusion Stepwise psychological intervention used in patients undergoing chronic toe amputation surgery can improve their self-protection awareness and hope level,reduce psychological stress reactions,and do not increase the incidence of postoperative complications.It can achieve high satisfaction and is worth promoting and applying.
关键词
阶梯式心理干预/慢性截趾(肢)手术/心理应激反应/自我防护意识/希望水平/术后并发症/满意度Key words
stepwise psychological intervention/chronic toe(limb)amputation surgery/psychological stress response/self-protective awareness/hope level/postoperative complications/satisfaction引用本文复制引用
基金项目
国家自然科学基金青年基金(82202446)
出版年
2024
NETL
NSTL
万方数据