早期心理干预对唇腭裂患儿父母的影响  

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

作　　者：王杨洋[1] 信燕华[1] 马坚[2] 辛秀红[3] 石冰[4] 黄永清[2] 

机构地区：[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　　处：《华西口腔医学杂志》2013年第4期372-376,共5页West China Journal of Stomatology

基　　金：国家自然科学基金资助项目(81160131)

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。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 self- administered 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 hospita- lization 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 CSCL-90）, the answer scores of somatization, obsessive- compulsive, 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.

关 键 词：唇腭裂 父母 调查 早期心理干预 

分 类 号：R395.5[哲学宗教—心理学]