综合心理干预在颜面部烧伤患者治疗中的应用(1)
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[摘要]目的：通过对颜面部烧伤患者的综合心理干预，探讨颜面部烧伤患者心理健康状况及对生活能力的影响，评估综合心理干预在颜面部烧伤患者临床疗效中的重要作用。方法：将95例患者随机分为实验组和对照组。实验组在实施常规医学护理的同时给予各类综合心理干预措施。干预前后均采用抑郁自评量表、焦虑自评量表、症状自评量表和Barthel指数记分法对患者心理状况及生活能力进行评定。结果：综合心理干预后，实验组SDS评分、SAS评分均明显低于对照组，实验组抑郁、焦虑、恐怖、精神病性因子评分等也明显低于对照组。结论：在颜面部烧伤患者的临床治疗中，综合心理干预能够更好的改善患者的焦虑、抑郁、心理健康状况、生活自理能力。对颜面烧伤患者实施综合心理干预，在其整个治疗中非常必要且具有重要意义。
[关键词]综合心理干预；颜面部烧伤；焦虑；抑郁；心理健康
[中图分类号]R471 [文献标识码]A [文章编号]1008-6455(2012)05-0849-04
The effect of application of multiple psychological interventions in the treatment process of patients with facial burn injury
ZHO Qin1, GUAN Hao1, HE Fei2, SHE Tao1, SHI Xue-qin1, ZOU Xiao-mei1, JIAO Xiao-chun1
(1.The Burn Center of PLA,Xijing Hospital,The Fourth Millitary Mecidal Universit,XI'an 710032,Shaanxi,China;2.Department of Human Resource, School of Public Management, Northwest University)
Abstract: Objective Multiple psychological intervention were applied in the process of facial burn injury treatment. To explore the effect of multiple psychological interventions on patients' mental health and living ability. Methods Ninety five patients were divided into experiment group and control group. In the experiment group, patients not only received routine nursing care but also got multiple psychological interventions. Self-rating depression scale (SDS), self-rating anxiety scale (SAS), symptom checklist 90(SCL-90) and Barthel index of ADL (ADL) were employed to evaluate the mental health and living ability of facial burn patients before and after multiple psychological intervention. Results The scores of SDS and SAS in experiment group were significantly lower than that of in control group. After the intervention, patients in experiment group had lower scores in depression, phobic-anxiety and psychoticism score. Conclusions In facial burn patients treatment process applied multiple psychological interventions can improve depression, phobic-anxiety, mental health, and living ability of patients. It is an important measure in facial burn treatment process.
Key words: multiple psychological intervention; facial burn; anxiety; depression; mental health
颜面部是人体中暴露范围最为广泛的部位，因此，颜面部烧伤的发生率明显高于身体中的其他部位[1] ......
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