| Object:1.To investigate and analyze the pain and psychological stress of burn patients.2.Improve burn dressing pain care based on evidence to reduce the psychological stress level of urn patients.Methods:1.The general demographic questionnaire,the Mc Gill Pain Questionnaire(SF-MPQ)and the ymptom Checklist 90(SCL-90)were used to investigate 102 burn patients in burn plastic urgery department of our hospital.2.The second part USES the "6S" evidence model to retrieve the literature and evaluate different iterature types.Guide to the literature is to use "clinical guidelines research and evaluation ystem"(AGREE Ⅱ)were evaluated;The systematic evaluation literature used AMSTAR tool or evaluation;Clinical randomized controlled Trials were evaluated using the Australian JBI vidence-based Health Care Center Randomized Controlled Trial Evaluation Criteria(2016). inally,the evaluation literature is summarized to determine the classification of evidence.3.In the third part,30 adult burn patients and 26 medical staff hospitalized in burn plastic surgery epartment of our hospital at different time periods were selected for baseline review,obstacle actor analysis,countermeasures preparation and evidence application.Finally,comparative nalysis of the impact of evidence on the patient,medical care and system level.Results:1.1.A total of 103 questionnaires were issued in the pain and psychological stress survey,of which 02 were valid(1 case was removed),with an effective recovery rate of 99.0%.Univariate nalysis showed that the patients with higher SCORE of SCL-90 were female,patients with total elf-payment and patients with head and face injury,and the difference was statistically ignificant(P<0.05).Regression analysis showed that pain was an influential factor of sychological stress in burn patients.2.Through evidence retrieval and evaluation,the second part summarizes 17 pieces of best vidence from five aspects: pain assessment,non-drug intervention,dressing change technology, sychological nursing,personnel training and patient education.3.The results of patients and medical staff after the application of evidence are as follows:(1)The compliance rate of the eight review indicators was significantly improved after the pplication of evidence.After the application of evidence,there were statistically significant ifferences in the knowledge score and behavior score of dressing change pain among medical taff(P<0.05),but no statistically significant differences in the attitude to pain(P>0.05).(2)There were statistically significant differences in SF-MPQ dimensions(PRI,VAS,PPI)and he total score of SF-MPQ in patients before and after the application of evidence(P<0.05).(3)Before and after the application of evidence,there were statistically significant differences etween the two groups in interpersonal sensitivity factor,depression factor,anxiety factor, error factor and the total score of SCL-90(P<0.05).(4)After the application of evidence,patients’ cognition of dressing change pain(pain is nevitable,pain should be tolerated,pain is harmful,pain affects the body,medical staff should e notified when pain occurs,and pain methods should be understood)was significantly mproved,with statistically significant difference between the two groups(P<0.05).Conclusion:1.Burn pain has a great influence on psychological stress of patients and is an influential factor f psychological stress.2.Evidence-based burn dressing pain care can reduce the pain and psychological stress of atients. |
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