摘要
目的探讨多元化护理联合康复功能训练对颈部烧伤疤痕挛缩畸形患者健康状况、依从性及自我管理能力的影响。方法选取2021年5月至2024年5月在厦门弘爱医院接受康复治疗的82例颈部烧伤疤痕挛缩畸形患者,将其随机分为观察组和对照组各41例。对照组接受常规护理和康复训练,观察组在此基础上接受多元化护理联合康复功能训练。干预周期为6个月。采用简明烧伤健康量表(Brief Burn Specific Health Scale,BSHS-B)评估患者的健康状况,采用成人健康自我管理能力评定量表Ⅱ(Adult Health Self Management Assessment Rating Scale-Ⅱ,AHSMARS-Ⅱ)评估患者的自我管理能力,自制依从性评估表评估患者的治疗依从性。结果①健康状况:治疗3个月和6个月后,观察组BSHS-B评分显著高于对照组(P<0.001)。②自我管理能力:观察组在生活管理、不良嗜好控制、饮食管理和服药管理4个方面的AHSMARS-Ⅱ得分均显著高于对照组(P<0.001)。③依从性:观察组完全依从率(70.73%)高于对照组(46.34%),差异有统计学意义(P<0.05)。但两组的总体依从率(包括完全依从率和部分依从率)差异无统计学意义(P>0.05)。结论多元化护理联合康复功能训练能显著改善颈部烧伤疤痕挛缩畸形患者的健康状况,提高其自我管理能力和治疗依从性,是一种值得推广的康复护理方法。
Objective To investigate the effects of diversified nursing combined with functional rehabilitation on health status,compliance,and self-management abilities in patients with neck-burn scar contracture deformity.Methods A total of 82 patients with neck burn scar contracture deformity who received rehabilitation treatment at Xiamen Humanity Hospital from May 2021 to May 2024 were selected and randomly divided into an observation group and a control group(41 patients each).The control group received conventional nursing and rehabilitation,while the observation group received additional diversified nursing combined with functional rehabilitation.The intervention period lasted for six months.The Brief Burn-Specific Health Scale(BSHS-B)was used to assess health status,the Adult Health Self-Management Assessment Rating Scale II(AHSMARS-II)was used to evaluate self-management ability,and a self-developed compliance evaluation form was used to assess treatment compliance.Results①Health Status:After three and six months of post-intervention,the BSHS-B scores of the observation group were significantly higher than those of the control group(P<0.001).②Self-Management Ability:The observation group scored significantly higher than the control group in all four aspects of the AHSMARS-II scale:life management,control of unhealthy habits,dietary management,and medication management(P<0.001).③Compliance:The complete compliance rate in the observation group(70.73%)was significantly higher than in the control group(46.34%)(P<0.05).However,there was no statistically significant difference in the overall compliance rate(including complete and partial compliance)between the two groups(P>0.05).Conclusion Diversified nursing combined with functional rehabilitation can significantly improve health status,self-management ability,and treatment compliance in patients with neck burn scar contracture deformity,making it a rehabilitation approach worthy of clinical promotion.
作者
郭芳
蔡淑英
郭志谦
GUO Fang;CAI Shuying;Guo Zhiqian(Burns Plastic Wound Repair Department,Xiamen Humanity Hospital,Xiamen,Fujian 361000,China)
出处
《生物医学工程学进展》
2025年第1期49-55,共7页
Progress in Biomedical Engineering
关键词
颈部烧伤
疤痕挛缩
多元化护理
康复功能训练
健康状况
自我管理
依从性
Neck Burn
Scar Contracture
Diversified Nursing
Functional Rehabilitation
Health Status
Self-Management
Treatment Compliance
