ObjectiveTo explore the effects of critical incident stress debriefing(CISD) combined with cognitive behavior intervention on psychological rehabilitation in patients with severe burn.
MethodsOne hundred and sixteen patients with severe burn were randomly divided into the observation group and control group(58 cases each group).Two groups were treated with conventional intervention, and the observation group was additionally treated with CISD combined with cognitive behavior intervention.The mental health, coping strategies, post-traumatic growth and happiness score between two groups were compared before and after intervention.
ResultsBefore intervention, there was not statistical significance in mental health, coping strategies, post-traumatic growth and happiness score between two groups(P>0.05).After intervention, the scores of somatization, interpersonal relationship, depression, anxiety and hostility, and total score of mental health in observation group were lower than those before intervention, and in control group after intervention(P < 0.05 to P < 0.01).After intervention, the score of facing dimension in observation group was higher than that before intervention, and in control group after intervention(P < 0.01), and the scores of avoiding and yielding dimensions in observation group were lower than those before intervention, and in control group after intervention(P < 0.01).After intervention, the total score of interpersonal relationship, new possibilities, spiritual change, appreciation of life and post-traumatic growth, and total score of health concerns, emotional behavior control and happiness in observation group were higher than those before intervention, and in control group after intervention(P < 0.05 to P < 0.01).
ConclusionsCISD combined with cognitive behavioral intervention can effectively relieve the psychological disorders, and promote the rehabilitation of patients.It is worthy of promotion.
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