首页|以Cameron适时理论为基础的全程护理模式在烧伤后瘢痕整形患者中的应用

以Cameron适时理论为基础的全程护理模式在烧伤后瘢痕整形患者中的应用

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目的:研究以Cameron适时理论为基础的全程护理模式对烧伤后瘢痕整形患者的干预效果.方法:选择2021年9月-2022年6月笔者医院收治的60例烧伤后瘢痕整形患者为研究对象,采用随机数字表法分为对照组(30例)和观察组(30例).对照组给予常规护理干预,观察组在对照组的基础上采用以Cameron适时理论为基础的全程护理模式进行干预,两组均干预8周.统计比较两组瘢痕恢复效果、并发症发生情况、心理状态、应对方式及护理满意度.结果:干预后,观察组创面渗出持续时间、疼痛持续时间均短于对照组(P<0.05);两组创面愈合时间、色素沉着率比较差异无统计学意义(P<0.05).干预8周后,观察组瘢痕恢复总有效率显著高于对照组(P<0.05);观察组心理韧性评分高于对照组(P<0.05),焦虑、抑郁、心理困扰评分低于对照组(P<0.05);观察组屈服、回避评分低于对照组(P<0.05),面对评分高于对照组(P<0.05);观察组护理总满意率高于对照组(P<0.05).干预期间,观察组总并发症发生率低于对照组(P<0.05).结论:以Cameron适时理论为基础的全程护理模式对烧伤后瘢痕整形患者进行干预,可有效促进患者创面愈合,改善患者心理状态及应对方式,降低并发症发生率,患者满意度高,具有较好的应用价值.
Application of Whole-course Nursing Model Based on Cameron Timely Theory in Burn Patients with Scar Plastic Surgery
Objective To study the intervention effect of Cameron timely theory based whole-course nursing model on patients with scar plastic surgery after burn.Methods 60 patients with post-burn scar plastic surgery admitted to the author's hospital from September 2021 to June 2022 were selected as the research objects,and were divided into the control group(30 cases)and the observation group(30 cases)by random number table method.The control group was treated with routine nursing intervention during hospitalization,and the observation group was treated with whole-course nursing mode based on Cameron timely theory on the basis of the control group.Both groups were treated for 8 weeks.The scar recovery effect,complications,ps ychological state,coping style and nursing satisfaction were compared between the two groups.Results After intervention,the duration of wound exudation and pain in the observation group were shorter than those in the control group(P<0.05).There were no significant differences in wound healing time and pigmentation rate between the two groups(P>0.05).After 8 weeks of intervention,the total effective rate of scar recovery in the observation group was significantly higher than that in the control group(P<0.05).The psychological resilience score of the observation group was higher than that of the control group(P<0.05),the anxiety,depression and psychological distress scores were lower than those of the control group(P<0.05).The yield and avoidance scores of the observation group were lower than those of the control group(P<0.05),and the confrontation score was higher than that of the control group(P<0.05).The total nursing satisfaction rate of the observation group was higher than that of the control group(P<0.05).During the intervention,the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The whole-course nursing model based on Cameron's just-in-time theory for burn patients with scar plastic surgery can effectively promote wound healing of patients,improve their psychological state and coping style,reduce the incidence of complications,and have high satisfaction of patients,which has good application value.

burnscar plastic surgeryCameron timely theorywhole-course nursing modemental statesatisfaction degree

盛丽、王红艳、谷申森

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新疆医科大学第一附属医院烧伤整形科 新疆 乌鲁木齐 830054

新疆医科大学第一附属医院肝脏·腹腔镜外科 新疆 乌鲁木齐 830054

烧伤 瘢痕整形 Cameron适时理论 全程护理模式 心理状态 满意度

2024

中国美容医学
西安交通大学第四军医大学

中国美容医学

CSTPCD
影响因子:1.006
ISSN:1008-6455
年,卷(期):2024.33(3)
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