摘要
目的 分析颜面部烧伤患者采取心理弹性支持结合基于行为转变理论的护理方案效果。方法 选取66例颜面部烧伤患者,研究过程中脱落6例,最终纳入60例,随机分为观察组(心理弹性支持结合基于行为转变理论的护理方案)和对照组(常规护理)各30例,对比效果。结果 观察组心理健康水平、社交回避及苦恼评分低于对照组,伤残接受度评分、生活质量评分均高于对照组(P<0.05)。结论 心理弹性支持结合基于行为转变理论的护理方案可有效改善颜面部烧伤患者心理健康,降低社交回避程度,提升伤残接受度与生活质量,效果理想。
关键词: 颜面部烧伤;心理弹性支持;心理健康;基于行为转变理论的护理;生活质量
Abstract
Objective To analyze the effect of psychological resilience support combined with a nursing program based on the transtheoretical model of behavior change in patients with facial burns. Methods Sixty-six patients with facial burns were selected. Six patients dropped out during the study, leaving a final sample of 60, which was randomly divided into an observation group (30 cases) receiving psychological resilience support combined with a nursing program based on the theory of behavior change, and a control group (30 cases) receiving routine nursing. The effects of the two groups were compared. Results The scores of mental health, social avoidance and distress in the observation group were lower than those in the control group, while the scores of disability acceptance and quality of life were higher than those in the control group (P<0.05). Conclusion Psychological resilience support combined with a nursing program based on the transtheoretical model of behavior change can effectively improve mental health, reduce social avoidance, enhance disability acceptance and quality of life in patients with facial burns, with satisfactory outcomes.
Key words: Facial burns; Psychological resilience support; Mental health; Nursing care based on behavior change theory; Quality of life
参考文献 References
[1] 陈滢,刘青山,颜浩,等. 特殊部位深度烧伤患者自尊和社会支持与病程不同时期心理健康状况的相关性分析[J]. 海军军医大学学报,2024,45(8):1016-1021.
[2] 陈宇峰,王媚,赵彩霞,等. 深度烧伤康复期患者心理社会适应的潜在剖面分析及影响因素[J]. 保健医学研究与实践,2025,22(4):134-140.
[3] 宫青香,崔倩,孙晨晨. 基于FCC模式的多维度支持护理对烧伤植皮患者心理状态和生活质量的影响[J]. 中国美容医学,2025,34(1):78-82.
[4] 余娅薇,卢小检. 基于IDEAS模式的术前访视联合共情支持对严重烧伤患者生理应激、应对方式和瘢痕恢复的影响[J]. 中国美容医学,2024,33(5):160-164.
[5] 邓云云,谭惠仪,郭帅杰,等. 重度烧伤康复期患者尊严受损体验的质性研究[J]. 中华护理杂志,2024,59(20): 2502 -2508.
[6] 樊洁婷,朱艳秋,宁晓辉,等. 社区养老机构护士胰岛素应用管理经验与挑战的定性研究[J]. 中华全科医师杂志,2025,24(8):970-977.
[7] 蔡新楠,宋意,奚萍,等. 1例安宁疗护专科护士主导的食管癌放疗术后伴骨转移患者终末期护理[J]. 护理学报,2025,32(22):62-64.
[8] 余红丽,祝红娟,王倩,等. 居家老年糖尿病足患者自我管理困境与应对策略的质性研究[J]. 中华现代护理杂志,2025,31(22):3031-3036.