心理干预联合优质护理在鼻整形BDD患者中应用效果
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孙海燕(1974.9-),女,江苏南京人,专科,主管护师,主要从事临床护理相关工作

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R473

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Application Effect of Psychological Intervention Combined with High Quality Nursing in BDD Patients with Rhinoplasty
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    摘要:

    目的 探讨鼻整形躯体变形障碍(BDD)患者应用心理干预联合优质护理的效果。方法 选择我 院2022年9月-2023年10月收治的106例有鼻整形诉求的BDD患者,按入院时间分为对照组和观察组,各 53例。对照组予以常规护理干预,观察组在其基础上予以心理干预联合优质护理。比较两组SCL-90评 分、ITAQ评分、鼻整形手术率、手术满意度及医患纠纷率。结果 观察组干预后SCL-90各维度评分 低于对照组,ITAQ各维度评分高于对照组,差异有统计学意义(P <0.05);观察组鼻整形手术率为 64.15%,高于对照组的28.30%,差异有统计学意义(P <0.05);观察组手术满意度为82.35%,高于对照组 的33.33%,差异有统计学意义(P <0.05);观察组医患纠纷率为0,低于对照组的7.55%,但差异无统计学 意义(P >0.05)。结论 实施心理干预联合优质护理可有效减轻鼻整形BDD患者心理压力,提高其自知 力,使其对整形手术有合理的认知与期望,能一定程度提高手术满意度,值得临床应用。

    Abstract:

    Objective To explore the effect of psychological intervention combined with high quality nursing in body dysmorphic disorder (BDD)patients with rhinoplasty. Methods A total of 106 BDD patients with rhinoplasty demands admitted to our hospital from September 2022 to October 2023 were selected and divided into control group and observation group according to admission time, with 53 patients in each group. The control group was given routine nursing intervention, and the observation group was given psychological intervention combined with high quality nursing on the basis of the control group. The SCL-90 score, ITAQ score, nasal plastic surgery rate, surgical satisfaction and doctor-patient dispute rate were compared between the two groups. Results After intervention, the scores of each dimension of SCL-90 in the observation group were lower than those in the control group, and the scores of each dimension of ITAQ were higher than those in the control group, the differences were statistically significant (P <0.05). The rate of nasal plastic surgery in the observation group was 64.15%, which was higher than 28.30% in the control group, and the difference was statistically significant (P <0.05). The surgical satisfaction of the observation group was 82.35%, which was higher than 33.33% of the control group, and the difference was statistically significant (P <0.05). The rate of doctor-patient disputes in the observation group was 0, which was lower than 7.55% in the control group, but the difference was not statistically significant (P >0.05). Conclusion Psychological intervention combined with high quality nursing can effectively reduce the psychological pressure of BDD patients with rhinoplasty, improve their insight, make them have reasonable cognition and expectation of plastic surgery, and improve the satisfaction of surgery to a certain extent, which is worthy of clinical application.

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孙海燕.心理干预联合优质护理在鼻整形BDD患者中应用效果[J].医学美学美容,2024,33(9):151-155.

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  • 在线发布日期: 2024-05-13
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