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简介：　　 [摘要 ]目的：探究综合护理对大面积烧伤患者心理行为及预后的影响。方法：选取笔者医院收治的 62例大面积烧伤患者，随机分为对照组和观察组，每组 31例。对照组患者予以常规护理手段，观察组患者予以綜合护理，比较两组患者护理满意度、疼痛情况、抑郁及焦虑情况、生活质量、创面愈合及并发症发生情况。结果：观察组患者创面愈合时间、汉密尔顿抑郁评分（ HMAD）、汉密尔顿焦虑评分（ HAMA）、视觉模拟疼痛评分（ VAS）、创面感染、肺部感染、压力性损伤的并发症发生率均显著低于对照组，差异具有统计学意义（ P<0.05）。观察组患者创面愈合率、护理满意度评分、生活质量评分均显著高于对照组，差异具有统计学意义（ P<0.05）。结论：综合护理能够促进大面积烧伤患者创面愈合，缩短愈合时间，缓解疼痛，改善患者在治疗期间的抑郁情况，降低 HAMD评分。  　　 [关键词 ]综合护理 ;大面积烧伤 ;汉密尔顿抑郁评分 ;创面愈合情况 ;视觉模拟疼痛评分  　 [Abstract] Objective: To explore the influence of comprehensive nursing on psychological behavior and prognosis of patients with large area burn. Methods: 62 patients with large area burn were randomly divided into control group and observation group, 31 cases in each group. The patients in the control group were given routine nursing, and the patients in the observation group were given comprehensive nursing. The nursing satisfaction, pain, depression and anxiety, quality of life, wound healing and complications of the two groups were compared. Results: the complications of wound healing time, Hamilton depression score (HMAD), Hamilton anxiety score (HAMA), visual analogue pain score (VAS), wound infection, lung infection and pressure injury in the observation group were significantly lower than those in the control group (P < 0.05). The scores of wound healing rate, nursing satisfaction and quality of life in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: the comprehensive nursing can promote the wound healing, shorten the healing time, relieve the pain, improve the depression of patients during the treatment, and reduce the HAMD score.

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简介：摘要：随着居民卫生条件不断优化，以及中国老年人数量和占比均呈增长趋势，脑血管疾病、癫痫和帕金森病等神经内科疾病的发病率也逐年增高。神经内科住院患者病情严重复杂，如在原发疾病症状的基础上伴随睡眠障碍和负性情绪，这在一定程度上会降低患者抵抗力，危害其身心健康，延缓原发疾病的治疗进程。在关注治疗相关症状的同时，也要重视分析引起住院患者负性情绪和睡眠障碍的因素。因此，本研究选取神经内科住院患者作为研究对象，分析造成其负性情绪和睡眠障碍的因素，旨在为临床医疗和护理工作提供理论依据。