摘要目的:探讨预见性护理在点阵二氧化碳激光治疗瘢痕中的应用及对不良反应的影响。方法:2017年1月至2019年6月南华大学附属第三医院收治90例瘢痕患者，均采用点阵二氧化碳激光治疗。90例患者按电脑数字表法随机分为对照组与试验组，每组45例。对照组予以常规护理，试验组予以预见性护理，对比2组不良反应发生情况、自我效能感及应对方式。采用 χ2检验及 t检验对数据进行统计学分析。 结果:治疗护理后，试验组不良反应发生率8.89%(4/45)，与对照组的33.33%(15/45)相比，差异有统计学意义( χ2＝8.073， P＝0.004)；试验组自我效能感评分为(38.08±0.62)分，与对照组(26.22±1.27)分比较，差异有统计学意义( P<0.05)；试验组医学应对方式量表中面对维度的评分比对照组高，而屈服、回避维度评分比对照组低，差异有统计学意义( P<0.05)。 结论:应用点阵二氧化碳激光治疗瘢痕中，采取预见性护理有助于预防不良反应发生，并促使患者自我效能感及应对方式改善。

abstractsObjective:To examine the effects of predictive nursing on the scar treatment by fractional carbon dioxide laser.Methods:90 cases with scar who were treated with fractional carbon dioxide laser in our hospital from January 2017 to June 2019. The cases were then divided into the predictive nursing (PN) group and routine nursing (RN) group as control. The adverse reactions, self-efficacy and solution of the patients between the two groups were analyzed.Results:The incidence of adverse reactions in the PN group was 8.89%(4/45), which was significantly ( χ2=8.073, P=0.004) lower than 33.33%(15/45) in the RN group. The self-efficacy score of the predictive nursing group was (38.08±0.62) points, which was significantly ( P<0.05) higher than (26.22±1.27)points in the routine nusing group. The facing dimension scores in the medical coping modes questionnaire table of the PN group was higher than that in RN group, and the yield and avoidance dimension scores were lower than those in the control group, with statistical significance( P<0.05). Conclusions:Predictive nursing in the scar treatment by fractional carbon dioxide laser can contribute to reduce adverse reactions, as well as promote the self-efficacy and coping styles of patients.