心理康复干预对大面积烧伤患者心理与生活质量的影响

摘要

Objective To explore the effects of psychological rehabilitation intervention (PRI) on mind and quality of life of patients with large area burn (LAB). Methods A total of LAB patients were assigned to two groups,according to random number table,control group received routine intervention and research group did PRI for 3 months. Anxious and depressive levels were assessed with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) before intervention and after 3 month intervention and mental health conditions with the Short Form 36 Health Survey Questionnaire (SF-36) after 3 month intervention. Results After intervention the SAS and SDS scores of both groups lowered more significantly compared with pre-intervention (P<0.01),so did those in research than in control group (P<0.01). After 3 month intervention all factors scores of the SF-36 were significantly higher in research than in control group (P<0.05 or 0.01). Total effective rate was respectively 94.7% in research and 80.4% in control group and the former significantly higher than the latter (P<0.05). Conclusion LAB patients have poor psychological health status,PRI could notably improve patients' anxious and depressive emotions and boost quality of life.%目的 探讨心理康复干预对大面积烧伤患者心理与生活质量的影响.方法 将118例大面积烧伤患者采用随机数字表法分为两组,对照组采用常规干预措施,研究组采用心理康复干预措施.观察3个月.于干预前及干预3个月后采用焦虑自评量表和抑郁自评量表评价两组患者的焦虑、抑郁程度,干预3个月后采用健康状况调查问卷评价患者的心身健康状况.结果 干预后两组焦虑自评量表和抑郁自评量表评分均较干预前显著下降(P<0.01),研究组较对照组下降更显著(P<0.01).干预3个月后研究组健康状况调查问卷各因子评分均显著高于对照组(P<0.05或0.01).研究组总有效率为94.7%,对照组为80.4%,研究组显著高于对照组(P<0.05).结论 大面积烧伤患者的心理健康状况较差,心理康复干预可以显著改善患者的焦虑、抑郁情绪,提高生活质量.