恢复力和认知评价对烧伤患者生活质量的影响

Panpan Zhang, Shigeng Zhang, A. Zhang
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引用次数: 1

摘要

目的了解烧伤患者的生活质量、心理弹性和残疾接受状况,探讨心理弹性和残疾接受对生活质量的影响。方法采用康诺-戴维森恢复力量表(CD-RISC)、残疾接受度量表(ADS)和烧伤特异性健康量表-简要表(BSHS-B)对315例处于康复期的烧伤患者进行问卷调查。结果烧伤患者恢复力总分为57.12±14.34分,残疾接受总分为78.20±9.99分,生活质量总分为128.29±37.26分。相关分析显示,烧伤患者心理弹性总分与生活质量呈正相关(r值为0.646,P<0.01);残障接受总分与烧伤患者生活质量总分呈正相关(r值为0.846,P < 0.01)。多元逐步回归分析结果显示,残障接受总分、烧伤严重程度、睡眠状态、负性情绪承受能力和承受能力是烧伤患者生活质量的主要预测因子。结论应高度重视烧伤患者的生活质量,尽早发现高危患者的心理问题,并给予合理干预,提高患者的适应能力和残疾接受度,从而提高患者的生活质量。关键词:烧伤;生活质量;弹性;认知评价
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Effects of resilience and cognitive evaluation on quality of life of burn patients
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. Key words: Burns; Quality of life; Resilience; Cognitive evaluation
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