心理支持辅助治疗对单侧唇裂儿童及其家属负性情绪和生活质量的影响  

Effects of Psychological Support Adjuvant Therapy on Negative Emotions and Quality of Life of Children with Unilateral Cleft Lip and Their Families

作　　者：樊婷[1] FAN Ting(Suizhou Central Hospital of Hubei Province,Suizhou 441300,China)

机构地区：[1]湖北省随州市中心医院

出　　处：《中国健康心理学杂志》2018年第8期1156-1161,共6页China Journal of Health Psychology

摘　　要：目的：观察心理支持辅助治疗对单侧唇裂儿童及其家属负性情绪和生活质量的影响。方法：采取随机抽签法将我院84例单侧唇裂儿童分为2组各42例,对照组在围术期给予常规干预,观察组基于对照组给予双向综合心理支持辅助治疗,比较2组干预前后患儿抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分、Herth希望量表评分、症状自评量表（SCL-90）评分、患儿及家属生活质量（GQOLI-74）评分,并观察2组并发症情况。结果：干预后,观察组患儿SDS评分（t=-7.329,P〈0.001）、SAS评分（t=-4.875,P〈0.001）明显低于对照组,Herth量表中对现实以及未来积极态度（t=3.749,P〈0.001）、与他人之间保持亲密关系（t=2.465,P〈0.05）、采取积极行动（t=3.014,P〈0.05）评分均明显高于对照组;观察组SCL-90中精神病性（t=-2.038,P〈0.05）、躯体化（t=-3.502,P〈0.001）、偏执（t=-2.129,P〈0.05）、强迫症（t=-2.173,P〈0.05）、恐怖（t=-2.580,P〈0.05）、人际关系敏感（t=-2.952,P〈0.05）、敌对症（t=-3.123,P〈0.05）、抑郁（t=-2.480,P〈0.05）、焦虑（t=-4.187,P〈0.001）评分均明显低于对照组;观察组患儿及其家属GQOLI-74量表中物质生活状态[（t=4.431,P〈0.001）,（t=4.462,P〈0.001）]、社会功能[（t=4.152,P〈0.001）,（t=5.162,P〈0.001）]及心理健康[（t=3.274,P〈0.01）,（t=2.643,P〈0.01）]评分均明显高于对照组;观察组并发症总发生率9.52%,显著低于对照组26.19%（χ~2=3.977,P〈0.05）。结论：在单侧唇裂儿童围术期给予双向综合心理支持辅助治疗,可有效减少患儿及家属抑郁焦虑等负性情绪,提高患儿希望水平,同时提高患儿及家属生活质量,降低并发症风险,具有临床推广价值。Objective：To observe the effects of psychological support adjuvant therapy on negative emotions and quality of life of children with unilateral cleft lip and their families.Methods：A total of 84 cases of children with unilateral cleft lip in our hospital were divided into 2 groups with 42 cases in each group by random lottery method.The control group was given routine intervention during perioperative period,and the observation group was given bidirectional comprehensive psychological support adjuvant therapy based on the treatment in the control group.The self-rating depression scale（SDS）score,self-rating anxiety scale（SAS）score,Herth hope rating scale score,family symptom checklist（SCL-90）score,the quality of life（GQOLI-74）score of children and their families were compared before and after intervention in the 2 groups,and the complications were observed in the 2 groups.Results：After intervention,the scores of SDS and SAS in the observation group were significantly lower than those in the control group（t=-7.329,-4.875;P〈0.001）.And the scores of the positive attitude towards reality and future,to close relations maintenance with others and taking positive actions of the Herth rating scale in the observation group were significantly higher than those in the control group（t=3.749,2.465,3.014;P〈0.01）.The scores of psychosis,somatization,paranoid,obsessive compulsive disorder,terror,interpersonal sensitivity,hostile disease,depression,anxiety scores of the SCL-90 scale in the observation group were significantly lower than those in the control group（t=-2.038,-3.502,-2.129,-2.173,-2.580,-2.952,-3.123,-2.480,-4.187;P 0.05）.The scores of material life condition,social function and mental health of children and their families in the GQOLI-74 scale in the observation group were significantly higher than those in control group（t=4.431,4.462,4.152,5.162,3.274,2.643;P〈0.01）.The total incidence rate of complications was significantly lower in the observation group than that in the c

关 键 词：双向综合心理支持 单侧唇裂 负性情绪 生活质量 

分 类 号：R395.9[哲学宗教—心理学]