杨晨鹤 张静慧 郭利丽

    [摘要]目的：分析早期康復锻炼联合情志护理对上肢重度烧伤后整形植皮患者肢体功能恢复及心理重建的影响。方法：回顾性分析2017年5月-2019年5月于笔者医院接受整形植皮治疗的89例重度上肢烧伤患者临床资料，按照是否给予情志护理分为联合组(n=45)和对照组(n=44)。收集各组临床资料，比较术后各时间段创面疼痛评分(Visual analogue scale，VAS)、美观满意度评分[采用数字评分系统(Navy standardized score，NSS)评估]、抑郁(Self-rating depression scale，SDS)及焦虑评分(Self-rating anxiety scale，SAS)、活动度及并发症发生情况。结果：两组术后第1天VAS评分比较差异无统计学意义(P>0.05);联合组术后第3周、第5周VAS评分较对照组低，第5周NSS评分较对照组高，差异有统计学意义(P0.05);联合组术后第3周SAS及SDS评分均有所下降，且低于对照组，差异有统计学意义(P0.05)。联合组术后并发症发生率为(6.67%)较对照组(25.00%)低，差异有统计学意义(P0.05). The VAS score of the combined group was lower than those of the control group at 3 and 5 weeks after operation， and the NSS score was higher than those of the control group at 5 weeks after operation， the differences were statistically significant(P0.05). After 3 weeks of nursing， SAS and SDS scores of the combined group decreased， and were lower than those of the control group(P0.05). The incidence of postoperative complications in the combined group (6.67%) was lower than that in the control group (25.00%， P0.05)，见表1。

    纳入标准：①满足重度烧伤诊断标准(烧伤总面积30%～49%;或Ⅲ度烧伤面积10%～19%;或Ⅱ度、Ⅲ度烧伤面积虽未达到上述百分比 ......