护理干预对颜面部瘢痕整形患者抑郁情绪和生活质量影响研究.docVIP

护理干预对颜面部瘢痕整形患者抑郁情绪和生活质量影响研究 　　[摘要]目的：探索护理干预对颜面部瘢痕整形患者抑郁情绪和生活质量的影响。方法：将128例颜面部瘢痕整形患者随机分为护理干预组和对照组，每组64例。对照组患者整形术后给予常规护理；护理干预组给予常规护理+护理干预（包括认知干预、心理干预和行为干预等）。两组患者分别在术前和出院后6个月填写抑郁自评量表（Self-rating depression scale，SDS）和生活质量指数量表，整理数据进行比较分析。结果：干预后，护理干预组患者SDS评分显著低于对照组，差异有统计学意义（P0.05）。结论：护理干预可显著降低颜面部瘢痕整形患者的抑郁程度，提高其生活质量。 　　[关键词]护理干预；颜面部瘢痕；整形术；抑郁；生活质量 　　[中图分类号]R473.6 [文献标志码]B [文章编号]1008-6455（2017）09-0107-03 　　The Influence of Nursing Intervention on Depression and Quality of Life in Patients with Facial Scar Plastic Surgery 　　TIAN Yu-qiong，CAI Yan-li 　　（Department of Plastic Surgery，Xijing Hospital，The Air Force Military Medical University，Xi’an 710032，Shaanxi，China） 　　Abstract： Objective To explore the influence of nursing intervention on depression and quality of life in patients with facial scar plastic surgery. Methods 128 patients with facial scar were randomly divided into the nursing intervention group and control group， 64 cases in each group. The control group received routine nursing. The nursing intervention group received routine nursing plus intervention which included cognitive intervention， psychosocial intervention and behavioral intervention. In the two groups， the Self-rating depression scale（SDS） and the Spitzer quality of life index（SQLI） were filled in the six months before and after the operation， and the data were analyzed and compared. Results After nursing intervention， the SDS score of nursing intervention group was significantly lower than that of control group， the difference was statistically significant（P0.05）. Conclusion Nursing intervention can significantly reduce the degree of depression and improve the quality of life in patients with facial scar plastic surgery. 　　Key words： nursing intervention； facial scar； plastic surgery； depression； quality of life 　　烧伤、外伤、肿瘤切除及外科手术等常可继发瘢痕畸形[1-3]，对患者的身心健康造成不同程度的影响[4-5]。而颜面部瘢痕因其位置特殊，易使患者产生自卑、抑郁、焦虑等不良情绪，严重影响其生活质量[6-8]。因此，通过颜面部瘢痕整形术改变容貌，恢复其原有的家庭、精神和社会生活显得尤为迫切。瘢痕整形术可改善患者外观，提高美学水平，但不能从根本上解决长期困扰患者的负