摘要
目的探讨心理干预对烧伤患者生存质量的影响。方法采用病例对照研究方法,采用简明烧伤健康量表(BSHS-A)进行问卷调查,对80例烧伤患者进行为期6～12个月的追踪研究,40例常规治疗联合心理干预(简称心理组),40例常规治疗(简称对照组)。结果患者出院时,心理组在BSHS-A问卷总均分和心理功能、社会关系和一般健康状况维度的分值[分别为(286．11±29．06)分,(72．96±7．22)分,(72．48±7,73)分,(68．97±7．07)分]高于对照组[分别为(270．62±35．32)分,(67．63±8．97)分,(68．60±9．21)分,(65．41±8．43)分],差异有显著性(P＜0．05),其中心理功能维度差异有极显著性(P＜0．01)；2组躯体功能分值差异无显著性(P＞0．05)。出院6个月后,2组BSHS-A评分均有下降的趋势,但是心理组在BSHS-A问卷总均分和心理功能、社会关系和一般健康状况维度的分值仍高于对照组,差异有显著性(P＜0．05),其中心理功能维度和社会关系维度差异有极显著性(P＜0．01)；2组躯体功能维度差异无显著性(P＞0．05)。心理组下降显著的有BSHS-A总均分、社会关系和一般健康状况维度,下降非常显著的有心理功能维度；对照组下降非常显著的有BSHS-A总均分、心理功能和社会关系及一般健康状况维度,2组躯体功能维度均下降不显著。结论心理干预可以提高烧伤患者生存质量,显著改善患者心理功能和社会关系及一般健康状况,帮助患者重返社会,但是对于躯体功能影响不明显。烧伤患者出院后生存质量有下降趋势。
Objective To analyze the quality of life of burned patients and the effect of psychological intervention. Methods A total of 80 burned patients were performed six - twelve months investigation by adopting case-control method ,40 of them were accepted combined psychological intervention;the other 40 cases were accepted treatment as routine. All cases were investigated on their common information and quality of life by filling out abbreviated burn specific health scale（BSHS-A）. Results When leaving hospital,the BSHS-A score of psycho- logical intervention group were higher than that of routine treatment group,there was remarkable difference on mental domain and significant difference on sum, social and general domain;there was no significant difference on physical domain. After six month,though all score of 80 cases were decreased, the BSHS-A score of psychological intervention group were higher than that of routine treament group, there was remarkable difference on mental and social domain,significant difference on sum and general domain;there was no significant difference on physical domain. In psychological intervention group,the decrease was significant on sum and mental,social and general domain;In routine treatment group, the decrease was significant sum and mental ,social and general domain. Conclusion Psychological intervention improve quality of life of burned patients, especially in mental, social and general domain. The quality of life of burned patients kept on decreasing after they left hospital.
出处
《中国行为医学科学》
CSCD
2006年第8期698-700,共3页
Chinese Journal of Behavioral Medical Science
关键词
烧伤
生存质量
心理干预
Burn
Quality of life
Psychological intervention
