结构式心理干预对颜面创伤整形患者预后效果影响.docxVIP

结构式心理干预对颜面创伤整形患者预后效果影响 　　[摘要]目的：探究結构式心理干预对颜面创伤整形患者的预后效果影响。方法：选取笔者医院收治的颜面创伤整形患者84例，随机分为对照组和观察组，两组患者均进行外科整形术，术后予以抗感染、镇痛等常规护理，观察组在此基础上予以结构式心理干预。观察并比较两组患者创面愈合时间、瘢痕评分、心理情况及护理满意度。结果：观察组患者创口愈合时间、瘢痕色泽、血管分布评分分别为（6.17±0.91）d、（1.03±0.31）分和（0.21±0.08）分，均明显低于对照组[（8.13±1.02）d、（1.43±0.55）分和（0.32±0.12）分]，差异有统计学意义（p0.05）。观察组护理总满意度为95.24%，明显高于对照组（78.57%），差异具有统计学意义（p0.05）。护理干预后，两组患者汉密尔顿焦虑评分（hamiltonanxietyscale，hama）、汉密尔顿抑郁评分（hamiltondepressionscale，hamd）均降低，观察组明显低于对照组，差异具有统计学意义（p0.05）。结论：颜面创伤整形患者在常规护理基础上，增加结构式心理干预，更有利患者术后创面的恢复，降低瘢痕评分，改善患者心理状态。 　　[关键词]结构式心理干预;颜面创伤;整形修复;瘢痕;心理状态;负性情绪 　　[中图分类号]r47[文献标志码]b[文章编号]1008-6455（2020）01-0155-03 　　effectofstructuralpsychologicalinterventionontheprognosisofpatientswithfacialtraumabyplasticsurgery 　　mayuan-yuan，zhaochun-yue 　　（departmentofburn，beijingjishuitanhospital，beijing100035，china） 　　abstract：objectivetoexploretheeffectontheprognosisofplasticsurgerypatientswithfacialtraumausingstructuralpsychologicalintervention.methods84patientswithfacialtraumaundergoingsurgicalplasticsurgeryadmittedtoourhospitalwereselectedandrandomlydividedintothecontrolgroupandtheobservationgroup.bothgroupsofpatientsunderwentsurgicalplasticsurgeryandreceivedroutinenursingsuchasanti-infectionandanalgesiaaftersurgery.theobservationgroupreceivedstructuredpsychologicalinterventiononthebasisoftheabove，andthewoundhealingtime，thescoreofscar，psychologicalstatusandnursingsatisfactionwereobservedandcomparedbetweenthetwogroups.resultsthewoundhealingtime，thescoresofscarcolorandbloodvesseldistributionofthepatientsintheobservationgroupwere（6.17±0.91）d，（1.03±0.31）and（0.21±0.08）respectively，whichweresignificantlylowerthanthoseinthecontrolgroup[（8.13±1.02）d，（1.43±0.55）and（0.32±0.12）]，thedifferenceswerestatisticallysignificant（p0.05）.thetotalsatisfactionrateoftheobservationgroupwas95.24%，whichwassignificantlyhigherthanthatofthecontrolgroup（78.57%，p0.05）.afternursingintervention，hamascoreandhamdscoreofthetwogroupsweredecreased，andtheobservationgroupwassignificant