中华烧伤杂志
中華燒傷雜誌
중화소상잡지
16
2014年
6期
487-490
,共4页
党瑞%王易坤%李娜%何亭%石梦娜%梁艳艳%朱婵%周永博%齐宗师
黨瑞%王易坤%李娜%何亭%石夢娜%樑豔豔%硃嬋%週永博%齊宗師
당서%왕역곤%리나%하정%석몽나%량염염%주선%주영박%제종사
烧伤%康复%社会适应%心理疗法,分组%自信心
燒傷%康複%社會適應%心理療法,分組%自信心
소상%강복%사회괄응%심리요법,분조%자신심
Burns%Rehabilitation%Social adjustment%Psychotherapy,group%Self-confidence
目的 探讨团体心理辅导对烧伤患者康复期间自信心水平和社会适应能力的作用.方法 将2012年1月-2014年1月西京医院收治的64例符合入选标准的烧伤患者按照康复治疗的方法分为对照组和试验组,每组32例.对照组患者接受常规康复治疗;试验组患者在常规康复治疗的基础上结合团体心理辅导,治疗时间为8周.治疗前、后采用自信心测验量表评估患者的自信心水平,计数自卑者、自我感觉平常者、自信者、超级自信者;治疗前、后采用中文版烧伤患者简易健康量表评估患者躯体功能、心理功能、社会关系、一般健康状况、综合状况,以了解患者的社会适应能力.对数据行t检验、X2检验、Mann-Whitney U检验、Wilcoxon检验. 结果 (1)试验组患者治疗后自信心水平较对照组显著提高(Z=-2.573,P＜0.05);试验组患者中自卑者由治疗前的17例(53.1％)降至治疗后的6例(18.8％),自我感觉平常者由治疗前的8例(25.0％)增至治疗后的13例(40.6％),自信者由治疗前的4例(12.5％)增至治疗后的10例(31.3％),治疗前后总体变化明显(Z=-4.123,P＜0.01).治疗前、后,对照组患者自信心水平无明显变化(Z=-1.000,P＞0.05).(2)试验组患者治疗后的心理功能、社会关系、一般健康状况、综合状况领域分值分别为(87±3)、(47.8±3.6)、(49±3)、(239±10)分,均明显高于对照组的(79±4)、(38.3±5.6)、(46±4)、(230±9)分(t值分别为-8.635、-8.125、-3.352、-3.609,P值均小于0.0l).试验组患者治疗后各领域分值均明显高于治疗前(t值为-33.282～-19.515,P值均小于0.05);对照组患者治疗后躯体功能、心理功能、一般健康状况、综合状况领域分值明显高于治疗前(t值为-27.137～-17.790,P值均小于0.05). 结论 团体心理辅导结合常规烧伤康复治疗,在提高烧伤患者的自信心水平及社会适应能力方面效果显著.
目的 探討糰體心理輔導對燒傷患者康複期間自信心水平和社會適應能力的作用.方法 將2012年1月-2014年1月西京醫院收治的64例符閤入選標準的燒傷患者按照康複治療的方法分為對照組和試驗組,每組32例.對照組患者接受常規康複治療;試驗組患者在常規康複治療的基礎上結閤糰體心理輔導,治療時間為8週.治療前、後採用自信心測驗量錶評估患者的自信心水平,計數自卑者、自我感覺平常者、自信者、超級自信者;治療前、後採用中文版燒傷患者簡易健康量錶評估患者軀體功能、心理功能、社會關繫、一般健康狀況、綜閤狀況,以瞭解患者的社會適應能力.對數據行t檢驗、X2檢驗、Mann-Whitney U檢驗、Wilcoxon檢驗. 結果 (1)試驗組患者治療後自信心水平較對照組顯著提高(Z=-2.573,P＜0.05);試驗組患者中自卑者由治療前的17例(53.1％)降至治療後的6例(18.8％),自我感覺平常者由治療前的8例(25.0％)增至治療後的13例(40.6％),自信者由治療前的4例(12.5％)增至治療後的10例(31.3％),治療前後總體變化明顯(Z=-4.123,P＜0.01).治療前、後,對照組患者自信心水平無明顯變化(Z=-1.000,P＞0.05).(2)試驗組患者治療後的心理功能、社會關繫、一般健康狀況、綜閤狀況領域分值分彆為(87±3)、(47.8±3.6)、(49±3)、(239±10)分,均明顯高于對照組的(79±4)、(38.3±5.6)、(46±4)、(230±9)分(t值分彆為-8.635、-8.125、-3.352、-3.609,P值均小于0.0l).試驗組患者治療後各領域分值均明顯高于治療前(t值為-33.282～-19.515,P值均小于0.05);對照組患者治療後軀體功能、心理功能、一般健康狀況、綜閤狀況領域分值明顯高于治療前(t值為-27.137～-17.790,P值均小于0.05). 結論 糰體心理輔導結閤常規燒傷康複治療,在提高燒傷患者的自信心水平及社會適應能力方麵效果顯著.
목적 탐토단체심리보도대소상환자강복기간자신심수평화사회괄응능력적작용.방법 장2012년1월-2014년1월서경의원수치적64례부합입선표준적소상환자안조강복치료적방법분위대조조화시험조,매조32례.대조조환자접수상규강복치료;시험조환자재상규강복치료적기출상결합단체심리보도,치료시간위8주.치료전、후채용자신심측험량표평고환자적자신심수평,계수자비자、자아감각평상자、자신자、초급자신자;치료전、후채용중문판소상환자간역건강량표평고환자구체공능、심리공능、사회관계、일반건강상황、종합상황,이료해환자적사회괄응능력.대수거행t검험、X2검험、Mann-Whitney U검험、Wilcoxon검험. 결과 (1)시험조환자치료후자신심수평교대조조현저제고(Z=-2.573,P＜0.05);시험조환자중자비자유치료전적17례(53.1％)강지치료후적6례(18.8％),자아감각평상자유치료전적8례(25.0％)증지치료후적13례(40.6％),자신자유치료전적4례(12.5％)증지치료후적10례(31.3％),치료전후총체변화명현(Z=-4.123,P＜0.01).치료전、후,대조조환자자신심수평무명현변화(Z=-1.000,P＞0.05).(2)시험조환자치료후적심리공능、사회관계、일반건강상황、종합상황영역분치분별위(87±3)、(47.8±3.6)、(49±3)、(239±10)분,균명현고우대조조적(79±4)、(38.3±5.6)、(46±4)、(230±9)분(t치분별위-8.635、-8.125、-3.352、-3.609,P치균소우0.0l).시험조환자치료후각영역분치균명현고우치료전(t치위-33.282～-19.515,P치균소우0.05);대조조환자치료후구체공능、심리공능、일반건강상황、종합상황영역분치명현고우치료전(t치위-27.137～-17.790,P치균소우0.05). 결론 단체심리보도결합상규소상강복치료,재제고소상환자적자신심수평급사회괄응능력방면효과현저.
Objective To explore the effects of group psychological counseling on the self-confi-dence and social adaptation of burn patients during the course of rehabilitation.Methods Sixty-four burn patients conforming to the inclusion criteria and hospitalized from January 2012 to January 2014 in Xijing Hospital were divided into trial group and control group according to the method of rehabilitation,with 32 cases in each group.Patients in the two groups were given ordinary rehabilitation training for 8 weeks,and the patients in trial group were given a course of group psychological counseling in addition.The Rosenberg's Self-Esteem Scale was used to evaluate the changes in self-confidence levels,and the number of patients with inferiority complex,normal feeling,self-confidence,and over self-confidence were counted before and after treatment.The Abbreviated Burn-Specific Health Scale was used to evaluate physical function,psychological function,social relationship,health condition,and general condition before and after treatment to evaluate the social adaptation of patients.Data were processed with t test,chi-square test,Mann-Whitney U test,and Wilcoxon test.Results (1) After treatment,the self-confidence levels of patients in trial group were significantly higher than those in control group (Z =-2.573,P ＜0.05).Among trial group,the number of patients with inferiority complex was 17 (53.1％) before treatment,which was decreased to 6 (18.8％) after treatment; the number of patients with normal feeling and that of self-confidence were 8 (25.0％) and 4 (12.5％) before treatment,which were respectively increased to 13 (40.6％) and 10 (31.3％) after treatment.The overall difference in trial group was obvious between before and after treatment (Z =-4.123,P ＜ 0.01).There was no obvious difference in self-confidence level of patients in control group between before and after treatment (Z =-1.000,P ＞ 0.05).(2) After treatment,the scores of psychological func-tion,social relationship,health condition,and general condition were (87 ± 3),(47.8 ± 3.6),(49 ± 3),and (239 ± 10) points in trial group,which were significantly higher than those in control group [(79 ± 4),(38.3±5.6),(46 ±4),and (231 ±9) points,with t values respectively-8.635,-8.125,-3.352,-3.609,P values below 0.01].After treatment,the scores of physical function,psychological function,social relationship,health condition,and general condition in trial group were significantly higher than those before treatment(with t values from-33.282 to-19.515,P values below 0.05).The scores of physical function,psychological function,health condition,and general condition in control group after treatment were significantly higher than those before treatment (with t values from-27.137 to-17.790,P values below 0.05).Conclusions Group psychological counseling combined with ordinary rehabilitation training give rise to significant effects on self-confidence level and social adaptation for burn patients.
