华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

唇腭裂患儿家长的心理分析

郑雷蕾;郑谦;石冰;石文岚   

  1. 四川大学华西口腔医院 唇腭裂外科,四川 成都610041
  • 收稿日期:2005-12-25 修回日期:2005-12-25 出版日期:2005-12-20 发布日期:2005-12-20
  • 通讯作者: 郑 谦, Tel: 13036670410
  • 作者简介:雷蕾(1979-),女,四川人,博士研究生

Analysis of Psychological Condition of Parents with Cleft Lip and/or Palate Children

ZHENGLei-lei,ZHENG Qian,SHI Bing,SHI Wen-lan   

  1. Dept.ofCleft Lip andPalate Surgery,West China College ofStomatology,Sichuan University,Chengdu 610041,China
  • Received:2005-12-25 Revised:2005-12-25 Online:2005-12-20 Published:2005-12-20

摘要: 的 评价唇腭裂患儿家长心理状态,探讨唇腭裂患儿家长负性心理状态与唇腭裂类型的关系,及改善 唇腭裂患儿家长负性心理的有效途径。方法 筛选非综合征性唇腭裂患儿家长100名作为试验组,另选择34名正 常儿童家长作为对照组。试验组按照患儿唇腭裂类型分为3个亚组:单纯性唇裂组(CL组)、单纯性腭裂组(CP组) 和唇腭裂组(CLP组)。选用生活事件量表和焦虑自评量表对试验组和对照组家长的心理状态进行定性和定量分 析。结果 试验组生活事件总刺激量、负性事件刺激量均高于对照组(P<0·05),3个亚组间生活事件总刺激量和 负性事件刺激量也有统计学差异(P<0·05),CLP组最高,CP组最低。焦虑自评量表调查结果显示,试验组焦虑自 评总分值与对照组无统计学差异(P>0·05)。结论 唇腭裂患儿家长普遍处于一种负性心理状态,少数表现出躯 体症状,唇腭裂患儿的畸形类型不同,家长的负性心理状态也不同,唇裂畸形比腭裂畸形对家长心理的影响更重, 说明唇腭裂患儿家长更在乎患儿的容貌畸形。

关键词: 唇腭裂, 家长, 心理状况

Abstract: Objective To evaluate the psychological situations of cleft lip and/or palate children′s parents, to discuss the rela- tionship between psychological situations and cleft types, and to provide clinical treatment to improve the psychological situations of these parents.Methods 100 parents whose children were proceeded the primary surgery treatment were selected as the study group, and other 34 parents whose children were normal as the control group. All parents were inquired and tested by the life event scale (LES) and self-rating anxiety scale (SAS).Results The LES total scores of the cleft lip and/or palate patients′par- entswere significantly high compared with the normal (P<0·05). The SAS total scores of the cleft lip and/or palate patients′ parents had no significant differencewiththe control group (P>0·05). The scores of cleft lip and/or palate patients′parentswere the highest and the scores of cleft palate patients′parents were the lowest.Conclusion Most of the cleft 1ip and/or palate pa- tients′parents were disturbed by a negative psychological situation. Some kind of negative psychological situation may manifest some body symptoms.Meanwhile,the three subgroups′data had the significant difference,which indicated that parents may much more care about the appearance abnormality.

Key words: cleft 1ip and palate, parents, psychological situations