烧伤创面愈合后患者预防性抗瘢痕治疗依从行为调查及阻碍因素分析OA
Survey of compliance behavior and analysis of hindering factors for preventive anti-scar treatment in pa-tients after burn wound healing
目的 调查烧伤创面愈合后患者预防性抗瘢痕治疗的依从性现状,并分析患者依从行为的主要阻碍因素.方法 回顾性选取2021年3月—2024年12月于空军军医大学唐都医院完成创面愈合治疗后,需进行预防性抗瘢痕治疗的298例患者作为研究对象.通过后续随访情况评估患者治疗依从行为,据此将患者归为依从组与不依从组.收集2组患者基本资料及临床疾病相关资料,同时采用流调中心抑郁量表(CES-D)、社会支持评定量表(SSRS)分别评估患者心理状态及社会支持水平.通过单因素分析筛选影响依从性的相关因素,采用多因素logistic回归分析明确阻碍患者依从行为的独立危险因素.结果 298例患者预防性抗瘢痕治疗总依从率为81.21%(242/298),其中完全依从106例(35.57%),部分依从136例(45.64%),不依从56例(18.79%).单因素分析结果显示,依从组与不依从组患者在年龄、文化程度、个人月收入、烧伤程度、瘢痕面积、社会支持水平及抑郁情绪方面比较,差异均有统计学意义(P<0.05);多因素logistic回归分析结果显示,年龄≥40岁、个人月收入越低、烧伤程度越重、社会支持水平较低及存在抑郁情绪是患者预防性抗瘢痕治疗依从性的独立危险因素(P<0.05).结论 烧伤创面愈合后患者预防性抗瘢痕治疗总依从率处于较高水平,但仍有部分患者存在不依从行为,其依从性受年龄、经济状况、病情严重程度、社会支持及心理状态等多种因素影响,临床需针对独立危险因素制定个体化干预策略,进一步提升患者治疗依从性,改善瘢痕预后.
Objective To investigate the current status of compliance with preventive anti-scar treatment in patients after burn wound healing,and to analyze the main hindering factors of compliance behavior.Methods A total of 298 patients who required preventive anti-scar treatment after wound healing at Tangdu Hospital,Air Force Medical University,from March 2021 to December 2024 were retrospectively selected as study participants.According to subsequent follow-up,pa-tients were assigned to a compliant group and a non-compliant group based on their treatment compliance behavior.Basic da-ta and clinical disease-related data were collected from both groups.The Center for Epidemiological Survey-Depression Scale(CES-D)and the Social Support Rating Scale(SSRS)were used to assess patients'psychological status and social support level,respectively.Univariate analysis was used to screen related factors affecting compliance,and multivariate logistic re-gression analysis was used to identify independent risk factors hindering compliance behavior.Results The overall compli-ance rate for preventive anti-scar treatment among the 298 patients was 81.21%(242/298),of which 106 cases(35.57%)were fully compliant,136 cases(45.64%)were partially compliant,and 56 cases(18.79%)were non-compliant.Univari-ate analysis showed statistically significant differences between the compliant and non-compliant groups in age,education level,monthly personal income,burn severity,scar area,social support level,and depressive mood(P<0.05).Multivari-ate logistic regression analysis showed that age≥40 years,lower monthly personal income,greater burn severity,lower so-cial support level,and presence of depressive mood were independent risk factors for compliance with preventive anti-scar treatment(P<0.05).Conclusion The overall compliance rate for preventive anti-scar treatment in patients after burn wound healing is at a relatively high level,but some patients still exhibit non-compliant behavior.Compliance is influenced by multiple factors,including age,economic status,disease severity,social support,and psychological state.Individualized intervention strategies should be developed targeting these independent risk factors in clinical practice to further improve pa-tient compliance and scar prognosis.
郭政;田静;杨茗炜;梁蓓;鲍静;肖汉妮;张娇娇
空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038空军军医大学唐都医院烧伤整形科,西安 710038
医药卫生
烧伤创面愈合预防性抗瘢痕治疗治疗依从性阻碍因素
Burn wound healingPreventive anti-scar treatmentTreatment complianceHindering factors
《保健医学研究与实践》 2026 (4)
36-42,7
陕西省重点研发计划项目(2021SF-292).
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