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自我管理训练对拟行皮肤移植的烧伤患者焦虑及舒适度的影响

The Effect of Self-Management Training on Anxiety and Comfort of Burn Patients Candidate for Skin Grafting.

作者信息

Shahryari Zahra, Seyedoshohadaee Mahnaz, Rafii Frough, Khachian Alice, Mahmoudi Mokhtar

机构信息

Department of Med ical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

出版信息

World J Plast Surg. 2020 May;9(2):194-199. doi: 10.29252/wjps.9.2.200.

Abstract

BACKGROUND

Self-management programs on needs of burn patients are still essential. So this study determined the effect of self-management training on anxiety and comfort of burn patients who were candidate for skin grafting.

METHODS

In a continuous sampling method in Shahid Motahari Burn Center affiliated to Iran University of Medical Sciences, 80 burn patients candidate for skin grafting were divided into equal groups of intervention and control. Educational intervention was undertaken in the form of booklet during two sessions before and after skin grafting. Visual comfort scale questionnaire and Spiel Berger state-trait anxiety inventory were completed by patients before training and one month after intervention.

RESULTS

There was a significant difference between the frequency of comfort level in both groups before and after the intervention. The level of comfort in the intervention group increased more than control group. The mean level of patients' anxiety showed a significant difference between groups and scores in intervention group were significantly more than control group.

CONCLUSION

Attention and control of anxiety and comfort in burn patients are one of the essential elements of their care. It can be suggested that self-management training can reduce anxiety and increase burn patients' comfort.

摘要

背景

针对烧伤患者需求的自我管理项目仍然至关重要。因此,本研究确定了自我管理培训对即将进行皮肤移植的烧伤患者焦虑和舒适度的影响。

方法

在伊朗医科大学附属的沙希德·莫塔哈里烧伤中心采用连续抽样法,将80名即将进行皮肤移植的烧伤患者分为干预组和对照组,每组人数相等。在皮肤移植前后分两次以手册形式进行教育干预。患者在培训前和干预后一个月完成视觉舒适度量表问卷和斯皮尔伯格状态-特质焦虑量表。

结果

两组干预前后舒适度水平的频率存在显著差异。干预组的舒适度水平比对照组提高得更多。患者焦虑的平均水平在两组之间存在显著差异,干预组的得分显著高于对照组。

结论

关注和控制烧伤患者的焦虑和舒适度是其护理的基本要素之一。可以认为自我管理培训可以减轻焦虑并提高烧伤患者的舒适度。

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