[摘 要]目的 分析在颜面部烧伤后瘢痕整形患者中实施行为转变理论指导下的康复护理对改善其心理状态及依从性的效果。方法 选取2023年6月-2024年6月于本院实施瘢痕整形的60例颜面部烧伤患者为研究对象，按随机数字表法分为对照组和观察组，每组30例。对照组实施常规康复护理，观察组实施行为转变理论指导下的康复护理，比较两组伤残接受程度、瘢痕改善情况、心理状态、依从性及并发症发生情况。结果 观察组护理后ADS-R评分高于对照组(P<0.05)；观察组护理后VSS评分低于对照组(P<0.05)；观察组护理后SAS、SDS评分均低于对照组(P<0.05)；观察组依从性为86.67%，高于对照组的70.00%(P<0.05)；观察组并发症发生率为3.33%，低于对照组的13.33%(P<0.05)。结论 在颜面部烧伤后瘢痕整形患者护理中实施行为转变理论指导下的康复护理能够改善患者的伤残接受程度及心理状态，有利于提高其依从性，促进瘢痕改善，且还能有效降低并发症发生几率，应用价值确切。

    [关键词] 行为转变理论；康复护理；颜面部烧伤；瘢痕整形

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)22-0179-04

    Effect of Rehabilitation Nursing Under The Guidance of Behavioral Change Theory on Psychological State and Compliance of Patients with Scar Plastic Surgery After Facial Burn

    ZHAO Haiyun

    (Department of Burns and Plastic Surgery，the Second Affiliated Hospital of Nantong University/Nantong First People’s Hospital， Nantong 226000， Jiangsu， China)

    [Abstract]Objective To analyze the effect of rehabilitation nursing under the guidance of behavioral change theory on improving the psychological state and compliance of patients with scar plastic surgery after facial burns. Methods A total of 60 patients with facial burn who underwent scar plastic surgery in our hospital from June 2023 to June 2024 were selected as the research objects. According to the random number table method ......