中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
13期
96-98
,共3页
高华%马娟%张桂娟%靳毅%闫加民
高華%馬娟%張桂娟%靳毅%閆加民
고화%마연%장계연%근의%염가민
中西结合心理治疗%烧伤%焦虑自评量表%抑郁自评量表%SF-36
中西結閤心理治療%燒傷%焦慮自評量錶%抑鬱自評量錶%SF-36
중서결합심리치료%소상%초필자평량표%억욱자평량표%SF-36
Western combined Chinese psychological counseling treatment%Burns%Self-rating anxiety scale SAS%Self-rating depression scale SDS%SF-36
目的：了解中西结合心理疏导治疗在重度烧伤患者各期治疗中的作用，探讨其临床意义。方法整群选择该院2010年1月-2012年12月收治的86例重症烧伤患者，随机分为中西结合心理疏导治疗组(治疗组)和西医心理治疗组(对照组)，每组各43例，治疗组在烧伤科常规治疗的基础上，进行中西医结合心理疏导治疗，对照组只进行西医心理干预治疗；观察记录两组病人住院期间的焦虑自评量表计分、抑郁自评量表计分、病人创面愈合时间、功能康复时间、平均住院时间、病人出院1年后的SF-36量表得分。结果治疗组患者各项指标均明显优于对照组，焦虑自评、抑郁自评、住院天数等统计指标低于对照组，而生活质量健康评价则高与对照组，统计学检验(P﹤0.05)。结论中西医结合心理疏导治疗在重症烧伤患者各期治疗中具有积极的临床意义，疗效优于单纯应用西医心理疏导治疗，能够有效缓解患者的焦虑、疑虑、敌意、抑郁情绪，对临床康复和心理康复都有积极的意义，具有积极的社会效益。
目的：瞭解中西結閤心理疏導治療在重度燒傷患者各期治療中的作用，探討其臨床意義。方法整群選擇該院2010年1月-2012年12月收治的86例重癥燒傷患者，隨機分為中西結閤心理疏導治療組(治療組)和西醫心理治療組(對照組)，每組各43例，治療組在燒傷科常規治療的基礎上，進行中西醫結閤心理疏導治療，對照組隻進行西醫心理榦預治療；觀察記錄兩組病人住院期間的焦慮自評量錶計分、抑鬱自評量錶計分、病人創麵愈閤時間、功能康複時間、平均住院時間、病人齣院1年後的SF-36量錶得分。結果治療組患者各項指標均明顯優于對照組，焦慮自評、抑鬱自評、住院天數等統計指標低于對照組，而生活質量健康評價則高與對照組，統計學檢驗(P﹤0.05)。結論中西醫結閤心理疏導治療在重癥燒傷患者各期治療中具有積極的臨床意義，療效優于單純應用西醫心理疏導治療，能夠有效緩解患者的焦慮、疑慮、敵意、抑鬱情緒，對臨床康複和心理康複都有積極的意義，具有積極的社會效益。
목적：료해중서결합심리소도치료재중도소상환자각기치료중적작용，탐토기림상의의。방법정군선택해원2010년1월-2012년12월수치적86례중증소상환자，수궤분위중서결합심리소도치료조(치료조)화서의심리치료조(대조조)，매조각43례，치료조재소상과상규치료적기출상，진행중서의결합심리소도치료，대조조지진행서의심리간예치료；관찰기록량조병인주원기간적초필자평량표계분、억욱자평량표계분、병인창면유합시간、공능강복시간、평균주원시간、병인출원1년후적SF-36량표득분。결과치료조환자각항지표균명현우우대조조，초필자평、억욱자평、주원천수등통계지표저우대조조，이생활질량건강평개칙고여대조조，통계학검험(P﹤0.05)。결론중서의결합심리소도치료재중증소상환자각기치료중구유적겁적림상의의，료효우우단순응용서의심리소도치료，능구유효완해환자적초필、의필、활의、억욱정서，대림상강복화심리강복도유적겁적의의，구유적겁적사회효익。
Objective To realize the effect of western combined traditional Chinese psychological counseling treatment in each stage of serious burns. Methods Choose the patients hospitalized from Sep, 2006 to May, 2010, all the patients were randomly di-vided into two groups, the experimental group and the control group, the experimental group received western combined traditional Chinese psychological counseling treatment, while the control group was given only western psychological counseling treatment. Both the two groups were given routine treatment at the same time. Take notes of the self-rating depression scale (SDS), and the self-rating anxiety scale; by questionnaire survey, clinical observation and telephone greeting , take notes of the wound healing time, function recovery time,the hospital length of stays and the life quality evaluation after 1 year they discharged from hospital (SF-36 scores). Results The indexes of the experimental group were better than that of the control group (P﹤0.05). Conclusion Western combined traditional Chinese psychological counseling treatment is of positive clinical significance, it effectively remits the nervous mood, shorten the cure time, got an expected clinical rehabilitation and psychological rehabilitation.
