主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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烧伤患者出院后社会参与水平现状及其影响因素研究

吴晓蕾 李琳 许乐   

  1. 福建医科大学护理学院,350108 福州市(吴晓蕾);福建医科大学附属协和医院烧伤科(李琳);护理部(许乐)
  • 出版日期:2017-12-25 发布日期:2017-12-25
  • 基金资助:
    国家临床重点专科建设项目(国卫办医函[2013] 544号);国家临床重点专科建设项目(卫办医政函[2012] 649号);福建省卫生计生中青年骨干人才培养项目(2017-ZQN-36)

Social participation and its influencing factors among patients with burns after discharge

  • Online:2017-12-25 Published:2017-12-25

摘要: 目的:调查烧伤患者出院后社会参与水平现状,并分析其影响因素。方法:采用一般资料调查表、参与和自主影响量表(IPA)、伤残接受度量表修订版(ADS-R)、希望因子量表(HHI)、改良Barthel指数测量量表(MBI)及视觉模拟评分法(VAS)对213例出院一个月的烧伤患者进行问卷调查。结果:烧伤患者出院一个月社会参与水平总分为(53.26±18.44)分,烧伤患者伤残接受度及希望水平与社会参与水平具有相关性(P<0.01),经济状况、疼痛评分、日常活动能力(ADL)、伤残接受度、亲密关系可解释社会参与水平得分变异量的75.8%。结论:烧伤患者社会出院一个月社会参与总体处于较差水平,医护人员应以社会参与水平各影响因素为切入点,实施针对性的康复心理干预项目,提高患者社会参与水平,促进其身心康复。

Abstract: Objective: To explore the current status and related factors of social participation among patients with burns. Methods: Totally 213 patients with burns were investigated one month after discharged from hospital. Impact on Participation and Autonomy Questionnaire (IPA), Acceptance of Disability Scale-Revised (ADS-R), Herth Hope Index (HHI), Modified Barthel Index Rating Scale (MBI) and Visual Analogue Scale (VAS) were performed. Results: The total score of IPA of the patients was 53.26±18.44. Acceptance of disability, hope and social participation were correlated (P<0.01). Financial situation, pain reaction, activities of daily living (ADL), acceptance of disability and interconnectedness can explain 75.8% of the variance social participation. Conclusions: The social participation of patients with burns was at the low level. Nursing staff are encouraged to provide proper psychological intervention to patients to enhance their level of social participation, promote patients body function recovery and psychosomatic rehabilitation.