心理干预对急诊深度烧伤患者创伤后应激障碍发生的影响(1)
【摘要】 目的：探讨心理干预对急诊深度烧伤患者创伤后应激障碍(PTSD)发生的影响。方法：选取本院急诊深度烧伤患者126例作为研究对象，随机将其分为观察组64例和对照组62例，观察组给予常规护理联合心理干预，对照组仅给予常规护理，比较两组PTSD发生率及其程度的差异。结果：观察组PTSD发生率低至29.69%，明显低于对照组(51.61%)，两组比较差异具有统计学意义(P<0.05)，观察组PTSD评分(再体验，回避、麻木，警觉性增高和PTSD总分)均明显低于对照组，SAS评分和SDS评分均明显低于对照组，伤残接受度评分和心理弹性评分均明显高于对照组，两组比较差异具有统计学意义(P<0.05)。结论：心理干预有助于降低急诊深度烧伤患者PTSD率，改善PTSD程度及其焦虑抑郁情绪，同时辅助患者早期接受伤残，提高自我战胜疾病的信心。
【关键词】 心理干预； 急诊深度烧伤； 创伤后应激障碍
【Abstract】 Objective：To investigate the effect of psychological intervention on post-traumatic stress disorder (PTSD) of emergency deep burn patients.Method：126 emergency deep burn wounds patients in our hospital were selected as research objects， they were randomly divided into two groups， the observation group(64 cases) received routine nursing combined with mental intervention， control the group(62 cases) was given routine nursing， the incidence and degree of PTSD were compared. Result：The PTSD incidence of the observation group was low to 29.69%， which was significantly lower than the control group(51.61%)，there was a statistically significant difference between the two groups(P<0.05)，the PTSD score (re experience，avoidance， numbness，alertness heighten and total PTSD) of observation group were significantly lower than control group，SAS score and SDS score were significantly lower than control group，the acceptance of disability score and psychological resilience score were significantly higher than control group， the difference between groups was significant(P<0.05).Conclusion： The psychological intervention is helpful to reducing PTSD rate of emergency deep burn patients，improving PTSD degree，anxiety and depression，also assisting in early disability acceptance， improving self confidence to overcome disease.
, http://www.100md.com
【Key words】 Psychological intervention； Emergency deep burn； Posttraumatic stress disorder
First-author’s address：The People's Hospital of Puning City， Puning 515300，China
doi：10.3969/j.issn.1674-4985.2015.21.033
创伤后应激障碍(Post-Traumatic Stress Disorder，PTSD)是指机体经历创伤性应激事件后发生的持续存在特异性症状群[1]。相关文献[2-3]提及我国烧伤人数大于2000万人/年，烧伤出现形象受损、肢体功能障碍等不仅导致患者生理疼痛、不适应和心理上自卑、抑郁等心理应激性障碍，严重影响神经内分泌、免疫功能异常。心理干预可能通过改善伤残接受度、心理弹性和负面情绪等途径降低创伤后应激障碍发生率，但关于此类报道研究甚少，现报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取2013年9月-2014年9月本院急诊深度烧伤患者126例作为研究对象，纳入标准：全部患者符合深度烧伤的诊断标准[4]，年龄≥18岁，Ⅱ度烧伤面积>10%，Ⅲ度烧伤面积>5%，自愿参加本研究；排除标准：意识障碍，认知功能异常，合并吸入性损伤，合并精神障碍患者。随机将其分为两组，观察组：64例，男50例，女14例，平均年龄(39.56±5.04)岁，Ⅱ度烧伤面积(46.31±4.15)%，Ⅲ度烧伤面积(21.04±2.14)%，烧伤原因：热液烧伤42例，火焰烧伤13例，化学烧伤9例，文化程度：初中49例，高中及其以上15例；对照组：62例，男50例，女12例，平均年龄(38.44±5.14)岁，Ⅱ度烧伤面积(45.97±4.07)%，Ⅲ度烧伤面积(21.17±2.08)%，烧伤原因：热液烧伤41例，火焰烧伤12例，化学烧伤9例，文化程度：初中50例，高中及其以上12例；两组患者性别、年龄、烧伤原因、烧伤面积和文化程度等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄佩纯)
【关键词】 心理干预； 急诊深度烧伤； 创伤后应激障碍
【Abstract】 Objective：To investigate the effect of psychological intervention on post-traumatic stress disorder (PTSD) of emergency deep burn patients.Method：126 emergency deep burn wounds patients in our hospital were selected as research objects， they were randomly divided into two groups， the observation group(64 cases) received routine nursing combined with mental intervention， control the group(62 cases) was given routine nursing， the incidence and degree of PTSD were compared. Result：The PTSD incidence of the observation group was low to 29.69%， which was significantly lower than the control group(51.61%)，there was a statistically significant difference between the two groups(P<0.05)，the PTSD score (re experience，avoidance， numbness，alertness heighten and total PTSD) of observation group were significantly lower than control group，SAS score and SDS score were significantly lower than control group，the acceptance of disability score and psychological resilience score were significantly higher than control group， the difference between groups was significant(P<0.05).Conclusion： The psychological intervention is helpful to reducing PTSD rate of emergency deep burn patients，improving PTSD degree，anxiety and depression，also assisting in early disability acceptance， improving self confidence to overcome disease.
, http://www.100md.com
【Key words】 Psychological intervention； Emergency deep burn； Posttraumatic stress disorder
First-author’s address：The People's Hospital of Puning City， Puning 515300，China
doi：10.3969/j.issn.1674-4985.2015.21.033
创伤后应激障碍(Post-Traumatic Stress Disorder，PTSD)是指机体经历创伤性应激事件后发生的持续存在特异性症状群[1]。相关文献[2-3]提及我国烧伤人数大于2000万人/年，烧伤出现形象受损、肢体功能障碍等不仅导致患者生理疼痛、不适应和心理上自卑、抑郁等心理应激性障碍，严重影响神经内分泌、免疫功能异常。心理干预可能通过改善伤残接受度、心理弹性和负面情绪等途径降低创伤后应激障碍发生率，但关于此类报道研究甚少，现报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取2013年9月-2014年9月本院急诊深度烧伤患者126例作为研究对象，纳入标准：全部患者符合深度烧伤的诊断标准[4]，年龄≥18岁，Ⅱ度烧伤面积>10%，Ⅲ度烧伤面积>5%，自愿参加本研究；排除标准：意识障碍，认知功能异常，合并吸入性损伤，合并精神障碍患者。随机将其分为两组，观察组：64例，男50例，女14例，平均年龄(39.56±5.04)岁，Ⅱ度烧伤面积(46.31±4.15)%，Ⅲ度烧伤面积(21.04±2.14)%，烧伤原因：热液烧伤42例，火焰烧伤13例，化学烧伤9例，文化程度：初中49例，高中及其以上15例；对照组：62例，男50例，女12例，平均年龄(38.44±5.14)岁，Ⅱ度烧伤面积(45.97±4.07)%，Ⅲ度烧伤面积(21.17±2.08)%，烧伤原因：热液烧伤41例，火焰烧伤12例，化学烧伤9例，文化程度：初中50例，高中及其以上12例；两组患者性别、年龄、烧伤原因、烧伤面积和文化程度等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄佩纯)