不同心理干预对不同人格患者正畸疼痛的缓解效果评价  

Effects of different psychological interventions on relieving orthodontic pain in patients with different personalities: a preliminary study

作　　者：郑茜[1] 张利华[2] 黄丽[1] 王光平[1] 袁小平[1] 徐晓梅[1] 

机构地区：[1]泸州医学院附属口腔医院正畸科,泸州医学院口颌面修复重建和再生实验室,四川泸州646000 [2]重庆市合川区人民医院口腔科,重庆404100

出　　处：《上海口腔医学》2016年第1期91-96,共6页Shanghai Journal of Stomatology

摘　　要：目的 :探讨不同心理干预措施对不同人格患者正畸治疗性疼痛的缓解疗效是否具有差异。方法 :根据随机对照原则,将300例样本分为5组:空白组、认知组、音乐组、放松组、暗示组。应用艾森克人格问卷评估受试者的人格类型,采用视觉模拟评分法评估受试者在不同心理干预情况下,不同时间点的疼痛强度。采用SPSS 16.0软件包对不同时间点的VAS值进行重复测量方差分析。结果:1认知组、音乐组、放松组、暗示组较空白组疼痛值低(P<0.001);2对外倾稳定型患者,音乐组疼痛值较其他组低(P<0.01);3对外倾不稳定型患者,暗示组疼痛值较认知组低(P<0.05);4对内倾稳定和内倾不稳定型患者,认知组、音乐组、放松组、暗示组之间无显著差异(P>0.05)。结论:1认知疗法、音乐疗法、放松疗法、暗示疗法均能有效缓解正畸治疗性疼痛;2对于外倾稳定型正畸患者,推荐音乐疗法干预正畸疼痛;3认知疗法适用于其他人格类型患者进行正畸疼痛控制。PURPOSE： To investigate the effects of different psychological interventions on relieving orthodontic pain in patients with different personalities. METHODS： Three hundred patients were involved and randomized into five groups： control group, cognitive therapy group, music therapy group, muscle relaxation group and suggestion therapy group. Eysenck personality questionnaire was used to evaluate personality traits of patients, and visual analogue scale （VAS） was used to assess patients＇ intensity of orthodontic pain at 2, 6, 12, 24, 48 and 72 h after initial archwire placement.The VAS scores were analyzed via repeated measures analysis of variance with SPSS 16.0 software package. RESULTS： The cognitive group,music group, muscle relaxation group and suggestion group were reported lower pain than control group （P〈0.001）. The music group showed a greater decrease in VAS than other four groups in patients with a tendency of extroversion and stable mood （P〈0.01）.The suggestion group showed less pain than cognitive group in patients with a tendency of extroversion and unstable mood （P〈0.05）.For patients with other personality traits, there was no significant difference among the four intervention groups. CONCLUSIONS： Cognitive therapy, music therapy, muscle relaxation and suggestion therapy could relieve orthodontic pain effectively. For patients with a tendency of extroversion and stable mood, music therapy was the first choice to control orthodontic pain. Cognitive therapy could be used for patients with other personality traits.

关 键 词：正畸治疗 心理干预 人格特征 疼痛 

分 类 号：R473.78[医药卫生—护理学]