早期心理干预对中重度烧伤患者生活质量的影响

摘要

目的：探讨早期心理干预对中重烧伤患者生活质量的影响.方法便利抽样法选择2012年10月至2015年10月上海交通大学医学院附属瑞金医院灼伤急诊收治住院的135例患者为研究对象,按入院先后将其分为对照组67例、观察组68例,对照组患者给予系统护理,观察组患者在对照组的基础上进行早期心理干预,采用生活质量综合评定量表(generic quality of life inventory-74,GQOLI-74)、自制的患者治疗依从性评价问卷、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对两组患者进行调查.结果治疗前,两组患者的 GQOLI-74量表各维度得分及总分差异均无统计学意义(均P＞0．05)；治疗后,两组患者 GQOLI-74量表各维度得分及总分均优于治疗前(均P＜0．05),且观察组患者的 GQOLI-74量表得分、治疗依从性均优于对照组患者(均P＜0．05),SAS及 SDS评分均低于对照组患者,差异均有统计学意义(均P＜0．05).结论在常规护理的基础上,对中重度烧伤患者进行早期心理干预,有利于提高其治疗依从性,改善患者的不良情绪及生活质量.%Objective To discuss the effect of early psychological intervention on quality of life of moderate and severe burn patients.Methods By convenience sampling,135 cases were selected and divided into ob-servation group (n=68)and control group (n=67).The control group received systematic nursing by pri-mary nurses,while the observation group received early psychological intervention on the basis of routine nursing.The treatment effects of two groups were evaluated by generic quality of life inventory-74 (GQO-LI-74),self-designed patients treatment compliance scale,self-rating anxiety scale (SAS)and self-rating depression scale (SDS).Results The quality of life improvement in observation group was better than that of control group(P<0.05),the treatment compliance was significantly higher than that of control group (P<0.05).The SAS and SDS scores in observation group were significantly lower than control group (all P<0.05).Conclusions On the basis of routine nursing care in patients with moderate and severe burn,the professional psychological intervention can improve the treatment compliance,and can significantly improve the patient’s anxiety,depression and quality of life,which is better for patients’recovery.