摘要
目的了解烧伤患者的生命质量、心理弹性、伤残接受度现状,并探讨心理弹性及伤残接受度对生命质量的影响。方法运用心理弹性量表(CD-RISC)、伤残接受度量表修订版(ADS)、中文版精简烧伤健康量表(BSHS-B),对315例烧伤康复期患者进行问卷调查。结果烧伤患者心理弹性总分为(57.12±14.34)分,伤残接受度总分为(78.20±9.99)分,生命质量总分为(128.29±37.26)分。相关分析结果显示,烧伤患者的心理弹性总分与生命质量呈正相关(r值为0.646,P<0.01);烧伤患者的伤残接受度总分与生命质量总分呈正相关(r值为0.846,P<0.01);多元逐步回归显示,伤残接受度总分、烧伤严重程度、睡眠状况、能力、忍受消极情感是影响烧伤患者生命质量的主要预测因素。结论应高度关注烧伤患者的生命质量,对于高危患者尽早发现其心理问题并给予合理的干预,提高患者的心理弹性和伤残接受度水平,进而提高其生命质量。
Objective To understand the status of life quality,resilience and disability acceptance of burn patients,and to explore the impact of mental resilience and disability acceptance on the quality of life.Methods Connor-Davidson Resilience Scale(CD-RISC),Acceptance of Disability Scale(ADS)and Burn Specific Health Scale-Brief(BSHS-B)were used to carry out questionnaire survey for a total of 315 burned patients who were in rehabilitation phase.Results For burned patients,the total score of resilience was 57.12±14.34,the total score of disability acceptance was 78.20±9.99,and the total score of quality of life was 128.29±37.26.The correlation analysis showed that the total score of resilience was positively correlated with quality of life for burned patients(r value was 0.646,P<0.01);the total score of disability acceptance was positively correlated with the total score of quality of life for burned patients(r value was 0.846,P<0.01).Multiple stepwise regression showed that the total score of disability acceptance,severity of burn,sleep state,ability and endurance of negative emotions were the main predictors of the quality of life for burned patients.Conclusions Great attention should be paid to the quality of life of burned patients,and psychological problems of high-risk patients should be found as soon as possible and reasonable intervention should be given to improve the resilience and disability acceptance of patients,so as to improve their quality of life.
作者
张盼盼
张士庚
张爱华
Zhang Panpan;Zhang Shigeng;Zhang Aihua(Burn Surgery Plastic Surgery,Jining Frist People′s Hospital,Jining 272000,China;Department of Radiotherapy,Taian Cancer Prevention and Treatment Hospital,Taian 271000,China;School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Taian 271016,China)
出处
《中国实用护理杂志》
2020年第10期778-784,共7页
Chinese Journal of Practical Nursing
基金
2018年度山东省高校科研计划项目(人文社科类)A类项目(J18RA103)。
关键词
烧伤
生活质量
心理弹性
伤残接受度
Burns
Quality of life
Resilience
Cognitive evaluation
