结构式心理干预对颜面创伤整形患者预后效果影响

目的:探究结构式心理干预对颜面创伤整形患者的预后效果影响。方法:选取笔者医院收治的颜面创伤整形患者84例,随机分为对照组和观察组,两组患者均进行外科整形术,术后予以抗感染、镇痛等常规护理,观察组在此基础上予以结构式心理干预。观察并比较两组患者创面愈合时间、瘢痕评分、心理情况及护理满意度。结果:观察组患者创口愈合时间、瘢痕色泽、血管分布评分分别为(6.17±0.91)d、(1.03±0.31)分和(0.21±0.08)分,均明显低于对照组(8.13±1.02)d、(1.43±0.55)分和(0.32±0.12)分],差异有统计学意义(P<0.05)。观察组护理总满意度为95.24%,明显高于对照组(78.57%),差异具有统计学意义(P<0.05)。护理干预后,两组患者汉密尔顿焦虑评分(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁评分(Hamilton depression scale,HAMD)均降低,观察组明显低于对照组,差异具有统计学意义(P<0.05)。结论:颜面创伤整形患者在常规护理基础上,增加结构式心理干预,更有利患者术后创面的恢复,降低瘢痕评分,改善患者心理状态。

Effect of Structural Psychological Intervention on the Prognosis of Patients with Facial Trauma by Plastic Surgery

Objective To explore the effect on the prognosis of plastic surgery patients with facial trauma using structural psychological intervention.Methods 84 patients with facial trauma undergoing surgical plastic surgery admitted to our hospital were selected and randomly divided into the control group and the observation group.Both groups of patients underwent surgical plastic surgery and received routine nursing such as anti-infection and analgesia after surgery.The observation group received structured psychological intervention on the basis of the above,and the wound healing time,the score of scar,psychological status and nursing satisfaction were observed and compared between the two groups.Results The wound healing time,the scores of scar color and blood vessel distribution of the patients in the observation group were (6.17±0.91)d,(1.03±0.31) and (0.21±0.08) respectively,which were significantly lower than those in the control group (8.13±1.02)d,(1.43±0.55) and (0.32±0.12)],the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was 95.24%,which was significantly higher than that of the control group (78.57%,P<0.05).After nursing intervention,HAMA score and HAMD score of the two groups were decreased,and the observation group was significantly lower than the control group(P<0.05).Conclusion On the basis of routine nursing,patients with facial trauma after surgical plastic surgery should increase structured psychological intervention,which is more beneficial to the recovery of postoperative wound,reduce the score of scar and improve the psychological state of patients.