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选取本院2012年4月~2014月4年收治的120例大面积烧伤患者,按照入院先后分为对照组和干预组各60例。对照组采用常规护理,干预组在此基础上实施早期心理干预,入院时及入院后1个月采用医院焦虑抑郁量表(HADS)评定患者的心理干预效果。结果两组患者于入院时出现食欲不振、情绪低落、睡眠障碍及拒绝治疗等相关心理及生理反应无明显差异(P>0.05)。干预组实施早期心理干预,对照组行一般心理护理1个月后,两组患者上述症状发生率对照组明显高于干预组(P<0.05)。入院时,患者焦虑、抑郁及综合测评结果无明显差异,P>0.05。入院后1个月时,干预组各指标相较于对照组均有明显降低(P<0.05)。早期实施综合全面的心理干预手段可以有效降低大面积烧伤患者的心理抑郁焦虑水平,帮助其树立重新面对社会的信心,减轻心理负面情绪,对疾病预后有帮助,具有临床意义,所有患者都应接受相关心理护理,为患者建立良好的心理自我调节能力。
A total of 120 patients with extensive burns admitted from April 2012 to April 2014 in our hospital were selected and divided into control group and intervention group of 60 patients according to admission criteria. The control group received routine nursing intervention. The intervention group conducted early psychological intervention on this basis. The hospital psychological anxiety and depression scale (HADS) was used to evaluate the psychological intervention effect at admission and one month after admission. Results There was no significant difference in psychological and physiological responses between the two groups when they were hospitalized, such as loss of appetite, depression, sleep disturbance and refusal to treat (P> 0.05). In the intervention group, early psychological intervention was performed. After one month of general psychological nursing in the control group, the incidence of these symptoms in the two groups was significantly higher than that in the intervention group (P <0.05). At admission, patients with anxiety, depression and comprehensive evaluation of the results no significant difference, P> 0.05. At 1 month after admission, the indexes in the intervention group were significantly lower than those in the control group (P <0.05). The early implementation of a comprehensive and comprehensive psychological intervention can effectively reduce the anxiety and depression of patients with extensive burn and help them to regain their confidence in the community and reduce the psychological negative emotions, which is of clinical significance to the prognosis of the disease. All patients should have Accept the relevant psychological care for patients to establish a good psychological self-regulating ability.