【摘 要】
：
目的 探讨团体心理辅导对烧伤患者康复期间自信心水平和社会适应能力的作用.方法 笔者单位2012年1月-2014年1月收治的64例进行康复治疗的烧伤患者,按照随机数字表法分为对照组和治疗组,每组32例,治疗组在常规康复治疗的基础上结合团体心理辅导,治疗时间为8周.治疗前、后采用自信心测验量表评估患者的自信心水平,计数自卑者、自我感觉平常者、自信者、超级自信者；治疗前、后采用中文版烧伤患者简易健康量表
【机 构】
：
第四军医大学西京医院烧伤与皮肤外科·全军烧伤中心 西安710032
【出 处】
：
全国第二十三届烧伤专业委员会学术会议
论文部分内容阅读
目的 探讨团体心理辅导对烧伤患者康复期间自信心水平和社会适应能力的作用.方法 笔者单位2012年1月-2014年1月收治的64例进行康复治疗的烧伤患者,按照随机数字表法分为对照组和治疗组,每组32例,治疗组在常规康复治疗的基础上结合团体心理辅导,治疗时间为8周.治疗前、后采用自信心测验量表评估患者的自信心水平,计数自卑者、自我感觉平常者、自信者、超级自信者；治疗前、后采用中文版烧伤患者简易健康量表评估患者躯体功能、心理功能、社会关系、一般健康状况、综合状况的分值,以了解患者的社会适应能力.对数据行t检验、x2检验、MannWhitney U检验、Wilcoxon检验.结果 (1)治疗组患者治疗后的自信心水平较对照组显著提高(Z =-2.573,P＜0.05)；治疗组患者中自卑者百分比由治疗前的53.1％降至治疗后的18.8％,自我感觉平常者百分比由治疗前的25.0％上升至40.6％,自信者百分比由治疗前的12.5％上升至31.3％ (Z=-4.123,P＜0.01).常规康复治疗前、后,对照组患者自信心水平无明显变化(Z=-1.000,P＞0.05).(2)治疗组患者治疗后的心理功能、社会关系、一般健康状况、综合状况领域分值分别为(86.9±3.1)、(47.8±3.6)、(49.1±3.3)、(238.9±9.7)分,均明显高于对照组(78.9±4.2)、(38.3±5.6)、(46.3±3.5)、(230.5±8.9)分(t值分别为-8.635、-8.125、-3.352、-3.609,P值均小于0.01).治疗组患者治疗后各领域分值均明显高于治疗前(t值为-33.282～-19.515,P值小于0.05)；对照组患者治疗后躯体功能、心理功能、一般健康状况、综合状况领域分值高于治疗前(t值为-27.137～-17.790,P值小于0.05).
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