摘要
目的探讨独居烧伤康复期患者自我隐瞒现状,分析其影响因素。方法采用便利抽样法,以2020年12月至2022年3月南阳医学高等专科学校第一附属医院收治的119例烧伤康复期患者为研究对象,采用一般资料调查表、自我隐瞒量表、自尊量表、特质应对方式问卷、社会支持评定量表实施调查。结果独居烧伤康复期患者自我隐瞒得分为(38.98±4.56)分,处于中等偏高水平。多元逐步回归分析结果表明,受教育程度、月收入、生活自理能力、烧伤严重程度、自尊、积极应对及社会支持是影响自我隐瞒的主要因素,共解释自我隐瞒总变异45.70%(F=18.392,P<0.001)。结论医护人员应持续关注和评估独居烧伤康复期患者的自我隐瞒现状,基于指导患者积极应对、改善其生活自理能力、调动其社会支持系统为导向,制定针对性方案实施干预,从而最大限度地满足患者个性化健康需求,促进其心理平衡,缓解自我隐瞒倾向,改善其总体生命质量。
Objective To investigate the status of self-concealment in solitary burn patients in the rehabilitation period and its influencing factors.Methods A total of 119 solitary burn patients in the rehabilitation period admitted to the First Affiliated Hospital of Nanyang Medical College from December 2020 to March 2022 were enrolled by convenience sampling method.General data questionnaire,self-concealment scale,self-esteem scale,trait coping style questionnaire and social support rating scale were used to survey recruited patients.Results The self-concealment score of solitary burn patients in the rehabilitation period was(38.98±4.56)points,which was at a medium-to-high level.The results of stepwise regression showed that education level,monthly income,self-care ability,burn severity,self-esteem,positive coping and social support were the main factors affecting self-concealment in solitary burn patients in the rehabilitation period,accounting for 45.70%of the total variation of self-concealment(F=18.392,P<0.001).Conclusion Self-concealment of solitary burn patients in the rehabilitation period should be well concerned and evaluated.Based on the goals of guiding patients to respond positively,improving their self-care ability and mobilizing their social support system,targeted programs should be formulated to implement interventions to maximize the satisfaction of individualized health needs,promote their psychological balance and alleviate their tendency to self-concealment,thus improving their overall quality of life.
作者
张璨
刘雪
ZHANG Can;LIU Xue
出处
《中国疗养医学》
2023年第6期660-665,共6页
Chinese Journal of Convalescent Medicine
关键词
康复期
烧伤
自我隐瞒
独居
Rehabilitation period
Burn
Self-concealment
Live alone
