成人患者正畸前心理症状与其配合度的相关研究  

Correlation analysis between psychosomatic symptoms of adult and cooperation behaviors

作　　者：郑德华[1] 王旭霞[1,2] 曾婧[3] 孙新国[4] 徐超[1] 张君[1,2] 

机构地区：[1]山东大学口腔医学院,山东济南250012 [2]山东省口腔生物医学重点实验室,山东济南250012 [3]贵阳中医学院第二附属医院口腔科,贵州贵阳550003 [4]菏泽市立医院,山东菏泽274031

出　　处：《上海口腔医学》2015年第2期240-244,共5页Shanghai Journal of Stomatology

摘　　要：目的 ：探讨成人心理症状与其正畸治疗中配合度的相关关系。方法 ：选择91例欲进行正畸治疗的成人错畸形患者,年龄20-45岁,矫治前运用症状自评量表（SCL-90）进行心理状况评估,在安装矫治器后的前6个月对其不合作行为发生的情况进行记录。采用SPSS 20.0软件包对数据进行单样本t检验、独立样本t检验、Spearman等级相关系数等统计学分析。结果：正畸患者中人际敏感、焦虑、精神病性、强迫因子记分高于常模;成人正畸患者的不合作行为平均7.2±1.4分,成人正畸患者心理症状与其治疗中发生的不合作行为呈正相关（r=0.35）。结论：成人错畸形患者的心理状况可对其治疗过程的配合度产生影响,正畸医师可基于对患者心理状况和人格倾向的了解,对患者进行宣教和引导,提高患者治疗过程中的依从性。PURPOSE： To investigate whether the psychosomatic symptoms of patients are related to the degree of cooperation. METHODS： Ninety-one malocclusion adults （31 males, 60 females, aged from 20 to 45 years） were selected and determined with Symptom Checklist-90 （SCL-90） to evaluate their psychosomatic symptoms. The inspected and filed noncooperation behaviors were examined and recorded 6 months after orthodontic treatment started. The data was analyzed by one-sample t test, independent-sample t test and Spearman rank correlation coefficient with SPSS 20.0 software package. RESULTS： Aduh malocclusion patients scored significantly higher than the nation norm on the factors of interpersonal sensitivity, anxiety, schizophrenia and compulsion （P〈0.05）. The score of noncooperation behaviors showed a scale of 0 to 19, with an average of 7.2±1.4 points. There was positive correlation between psychological problems and noncooperation behaviors of adult patients （r =0.35）. CONCLUSIONS： The study confirms that the psychosomatic symptoms of adult malocclusion patients are associated with the degree of cooperation. Having known well about the psychology of adult malocclusion patient before orthodontic treatment is initiated, and orthodontists can relieve psychological disorders in patients to improve their cooperating quality.

关 键 词：成人 正畸治疗 错[牙合]畸形 不合作行为 心理症状 

分 类 号：R783.5[医药卫生—口腔医学]