Dang Rui, Wang Yishen, Li Na, He Ting, Shi Mengna, Liang Yanyan, Zhu Chan, Zhou Yongbo, Qi Zongshi, Hu Dahai
Burn Center of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China.
Burn Center of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China. Email:
Zhonghua Shao Shang Za Zhi. 2014 Dec;30(6):487-90.
To explore the effects of group psychological counseling on the self-confidence and social adaptation of burn patients during the course of rehabilitation.
Sixty-four burn patients conforming to the inclusion criteria and hospitalized from January 2012 to January 2014 in Xijing Hospital were divided into trial group and control group according to the method of rehabilitation, with 32 cases in each group. Patients in the two groups were given ordinary rehabilitation training for 8 weeks, and the patients in trial group were given a course of group psychological counseling in addition. The Rosenberg's Self-Esteem Scale was used to evaluate the changes in self-confidence levels, and the number of patients with inferiority complex, normal feeling, self-confidence, and over self-confidence were counted before and after treatment. The Abbreviated Burn-Specific Health Scale was used to evaluate physical function, psychological function, social relationship, health condition, and general condition before and after treatment to evaluate the social adaptation of patients. Data were processed with t test, chi-square test, Mann-Whitney U test, and Wilcoxon test.
(1) After treatment, the self-confidence levels of patients in trial group were significantly higher than those in control group (Z = -2.573, P < 0.05). Among trial group, the number of patients with inferiority complex was 17 (53.1%) before treatment, which was decreased to 6 (18.8%) after treatment; the number of patients with normal feeling and that of self-confidence were 8 (25.0%) and 4 (12.5%) before treatment, which were respectively increased to 13 (40.6%) and 10 (31.3%) after treatment. The overall difference in trial group was obvious between before and after treatment (Z = -4.123, P < 0.01) . There was no obvious difference in self-confidence level of patients in control group between before and after treatment (Z = -1.000, P > 0.05). (2) After treatment, the scores of psychological function, social relationship, health condition, and general condition were (87 ± 3), (47.8 ± 3.6), (49 ± 3), and (239 ± 10) points in trial group, which were significantly higher than those in control group [(79 ± 4), (38.3 ± 5.6), (46 ± 4), and (231 ± 9) points, with t values respectively -8.635, -8.125, -3.352, -3.609, P values below 0.01]. After treatment, the scores of physical function, psychological function, social relationship, health condition, and general condition in trial group were significantly higher than those before treatment (with t values from -33.282 to -19.515, P values below 0.05). The scores of physical function, psychological function, health condition, and general condition in control group after treatment were significantly higher than those before treatment (with t values from -27.137 to -17.790, P values below 0.05).
Group psychological counseling combined with ordinary rehabilitation training give rise to significant effects on self-confidence level and social adaptation for burn patients.
探讨团体心理辅导对烧伤患者康复过程中自信心及社会适应能力的影响。
选取2012年1月至2014年1月在西京医院住院治疗且符合纳入标准的64例烧伤患者，按照康复方式分为试验组和对照组，每组32例。两组患者均接受8周的常规康复训练，试验组在此基础上给予1个疗程的团体心理辅导。采用罗森伯格自尊量表评估患者自信心水平的变化，统计治疗前后存在自卑、感觉正常、自信及过度自信的患者人数。采用烧伤专用简易健康量表评估患者治疗前后的身体功能、心理功能、社会关系、健康状况及总体状况，以评价患者的社会适应能力。数据采用t检验、卡方检验、曼-惠特尼U检验及威尔科克森检验进行处理。
（1）治疗后，试验组患者的自信心水平显著高于对照组（Z = -2.573，P < 0.05）。试验组中，治疗前自卑的患者有17例（53.1%），治疗后降至6例（18.8%）；治疗前感觉正常及自信的患者分别为8例（25.0%）和4例（12.5%），治疗后分别增至13例（40.6%）和10例（31.3%）。试验组治疗前后总体差异明显（Z = -4.123，P < 0.01）。对照组患者治疗前后自信心水平差异不明显（Z = -1.000，P > 0.05）。（2）治疗后，试验组心理功能、社会关系、健康状况及总体状况的得分分别为（87 ± 3）分、（47.8 ± 3.6）分、（49 ± 3）分和（239 ± 10）分，显著高于对照组[（79 ± 4）分、（38.3 ± 5.6）分、（46 ± 4）分和（231 ± 9）分，t值分别为 -8.635、-8.125、-3.352、-3.609，P值均小于0.01]。治疗后，试验组身体功能、心理功能、社会关系、健康状况及总体状况的得分均显著高于治疗前（t值为 -33.282至 -19.515，P值均小于0.05）。对照组治疗后身体功能、心理功能、健康状况及总体状况的得分均显著高于治疗前（t值为 -27.137至 -17.790，P值均小于0.05）。
团体心理辅导联合常规康复训练对烧伤患者的自信心水平及社会适应能力有显著影响。
