Abstract

Objective To investigate the effect of cognitive behavior mental nursing on the anxiety, depression and obtaining social support for the aged extensive burn patients. Methods A total of 100 aged extensive burn patients hospitalized in the department of burn plastic surgery of this hospital were selected from October 2013 to December 2015 as the study objects.In addition, random number method was used to divide them into observation group and control group (50 cases each). The patients of both groups received regular treatment, and the patients of control group received traditional nursing.The patients of observation group received cognitive behavior mental nursing based on traditional nursing.The aged patients of both groups received SAS, SDS, SSRS evaluation compiled by Zung 1 day before nursing and 4 weeks after nursing to compare its score.The nursing satisfaction of patients in both groups were observed and compared. Results After nursing for 4 weeks, the SAS and SDS scores in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The overall scores of SSRS of patients in observation group, burn surface area more than 50.00% and SSRS score of head-face burn patients were significantly higher than the control group, and the differences were statistically significant (P<0.05). The nursing satisfaction that was 96.00% for patients in observation group was significantly higher than it of 76.00% for the patients in control group, and the difference was statistically significant (P<0.01). Conclusions Cognitive behavioral psychological nursing can significantly improve the anxiety and depression of elderly patients with large area burn, enhance their ability to obtain social support, and help to build a harmonious relationship between nurses and patients. Key words: Cognitive behavior; Psychological care; Elderly patients with large area burn; Anxiety; Depression

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