华西口腔医学杂志

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早期心理干预对唇腭裂患儿父母的影响

王杨洋1  信燕华1  马坚2  辛秀红3  石冰4  黄永清2   

  1. 1.宁夏医科大学口腔医学院研究生部； 2.宁夏医科大学总医院口腔颌面外科；3.宁夏医科大学临床医学院医学心理学系， 银川750004；4.口腔疾病研究国家重点实验室华西口腔医院唇腭裂外科（四川大学）， 成都610041
  • 出版日期:2013-08-01 发布日期:2013-08-01
  • 通讯作者: 黄永清，Tel：0951-6743384
  • 作者简介:王杨洋（1985—），女，河北人，住院医师，硕士
  • 基金资助:

    国家自然科学基金资助项目（81160131）

Effects of an early psychological intervention on parents of children with cleft lip/palate

Wang Yangyang1,Xin Yanhua1, Ma Jian2, Xin Xiuhong3, Shi Bing4, Huang Yongqing2.   

  1. 1. Postgraduate Administration Office, College of Stomatology, Ningxia Medical University, Yinchuan 750004, China; 2. Dept. of Oral and  Maxillofacial Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China; 3. Dept. of Medical Psychology, College of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China; 4. State Key Laboratory of Oral Diseases, Dept. of Cleft and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2013-08-01 Published:2013-08-01

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摘要：

目的  对唇腭裂患儿父母的心身健康状况进行评估并进行早期心理干预，探讨早期心理干预对唇腭裂患儿父母的影响。方法  采用症状自评量表（SCL-90）对102名唇腭裂患儿的父亲或母亲在入院当天进行调查，在住院期间及出院后3个月内定期地进行心理干预，并于出院当天及3个月后再进行问卷调查。以126名正常儿童的父亲或母亲作为对照组。结果  病例组患儿父母在躯体化、强迫症状、抑郁、焦虑等9个维度上分值均显著高于对照组（P＜0.05）；病例组3个亚组（唇裂组、腭裂组、唇腭裂组）间差异无统计学意义（P＞0.05）；病例组出院当天与入院时的统计结果差异无统计学意义（P＞0.05），出院后3个月与入院时的统计结果有显著差异（P＜0.05）。结论  唇腭裂患儿父母的心身健康状况较差，早期心理干预对唇腭裂患儿家长具有重大影响，而且对患儿的心身健康也具有积极的意义。

关键词: 唇腭裂, 父母, 调查, 早期心理干预

Abstract:

 Objective  To provide basis for effects of an early psychological intervention on parents of children with cleft lip/palate, and investigate the effects of an early psychological intervention to them. Methods  One selfadministered questionnaire（SCL-90） was applied in 102 parents of children with cleft lip/palate, compared to 126 parents of healthy individuals on the day of admission. They were given the psychological intervention during hospitalization and 3 months after discharge. The questionnaire（SCL-90） was again applied to them on the day of discharge and 3 months after discharge. Results  Using the questionnaire（SCL-90）, the answer scores of somatization, obsessivecompulsive, depression and anxiety etc. were significantly higher than those of the control group（P<0.05）. There were no statistical differences during 3 subgroups in the case group（P＞0.05）. There were no statistical differences on the day of admission and on the day of discharge（P＞0.05）, but there were statistical difference on the day of admission and 3 months after discharge（P<0.05）. Conclusion  In this study, the psychosomatic states of parents of children with cleft lip/palate is poor. It’s important and greatly significant that we conduct early psychological intervention to parents of children with cleft lip/palate and to the children’s psychosomatic health.

Key words:  cleft lip/palate, parent, investigation, early psychological intervention

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