|
|
Application Effect of Stratified and Graded Continuous Intervention in Patients with Facial Burns |
ZHAO Wenjing, HE Yongqiang, LAN Jing |
Department of Burns and Plastic Surgery, Henan Electric Power Hospital, Zhengzhou Henan 450052 |
|
|
Abstract 【Objective】To evaluate the clinical application effect of stratified and graded continuous nursing intervention in perioperative and post-discharge rehabilitation management of patients with facial burns. 【Methods】A total of 86 patients with facial burns who were treated in Henan Electric Power Hospital from January 2023 to December 2024 were selected and divided into the observation group (43 cases, receiving stratified and graded continuous intervention) and the control group (43 cases, receiving routine intervention) by coin toss method. The intervention lasted until 3 months after discharge. The differences in wound healing time, Body Image Rating Scale (BIRS) score, Self-Perceived Burden Scale (SPBS) score, Acceptance of Disability Scale-Revised (ADS-R) score and complication rate were compared between the two groups. 【Results】After intervention, the formation time of granulation tissue and the complete wound healing time in the observation group were significantly shorter than those in the control group (P<0.05); the BIRS score and SPBS score in the observation group were significantly lower than those before intervention and in the control group (P<0.05); the scores of all dimensions of ADS-R in the observation group were significantly higher than those before intervention and in the control group (P<0.05); the total complication rate in the observation group was 18.60%, which was significantly lower than 48.84% in the control group (P<0.05). 【Conclusion】 The stratified and graded continuous nursing intervention mode can significantly accelerate the tissue repair process of facial burn wounds, reduce body image disturbance and psychological burden, improve patients' acceptance of disability, and effectively reduce common complications during rehabilitation, which has high clinical promotion value.
|
Received: 29 April 2025
|
|
|
|
|
[1] 李锦,李晓东,张程亮,等. 超声清创在儿童颜面部深度烧伤延期清创创面皮片移植中的应用研究[J].现代中西医结合杂志,2023,32(2):228-231. [2] 杨笑,盛丽,栾美君,等. 基于目标达成的分阶段康复管理联合视频宣教对老年颜面部烧伤患者自尊感和创面恢复的影响[J].老年医学与保健,2023,29(5):1066-1070. [3] 刘秀娟,张婷,姚敏. 系统性护理干预在颜面部烧伤患者护理中的应用效果分析[J].贵州医药,2022,46(1):168. [4] 李晓,贾竹敏,李转珍,等. 冠心病PCI术后Triangle分层分级延续护理方案的构建[J].护理研究,2025,39(3):409-416. [5] 孙俊,韩晓静,黄鑫宇. 罗森塔尔效应下的心理干预改善女性美容就医者认知偏差和应对方式的效果观察[J].中国美容医学,2025,34(1):82-86. [6] COUSINEAU N, MCDOWELL I, HOTZ S, et al. Measuring chronic patients' feelings of being a burden to their caregivers: development and preliminary validation of a scale[J].Medical Care,2003,41(1):110-118. [7] 乔莉霞,赵建法,陈昊阳,等. 脑卒中后偏瘫患者伤残接受度与应对方式及抑郁水平的相关性分析[J].海军医学杂志,2024,45(1):17-20. [8] 桂秀青. 基于行为转变理论康复护理在颜面部烧伤患者中的应用分析[J].西藏医药,2024,45(2):109-111. [9] 韩峰. 消防人员大面积烧伤的早期康复治疗与护理[J].环境与职业医学,2024,41(3):后插3. [10] 史娜,金晓燕,陈辉. 成年手烧伤患者延续性康复护理的研究进展[J].中华损伤与修复杂志(电子版),2024,19(1):68-72. [11] 宫青香,崔倩,孙晨晨. 基于FCC模式的多维度支持护理对烧伤植皮患者心理状态和生活质量的影响[J].中国美容医学,2025,34(1):78-82. [12] 陈卉,王伟芳,卢莉莉,等. 正念行为训练联合早期康复锻炼对上肢重度烧伤后整形植皮患者伤残接受度的影响[J].中国当代医药,2024,31(16):164-167. [13] 侯国冉,武迎双,丁晓倩. 人性化护理结合正念减压训练对颜面部严重烧伤患者术后心理应激反应的影响[J].中西医结合护理(中英文),2023,9(2):37-40. |
|
|
|