正念减压干预对口腔颌面部缺损游离皮瓣移植修复患者术前焦虑、抑郁情绪的影响  

Effect of mindfulness and decompression intervention on anxiety/Depression before free flap transplantation and repair of oral and maxillofacial defects

作　　者：任起辉[1] 李福军[1] REN Qihui;LI Fujun(First Affiliated Hospital of Henan University of Science and Technology,Department of Stomatology,Jinghua Hospital,Luoyang 471003,China)

机构地区：[1]河南科技大学第一附属医院景华院区口腔科

出　　处：《国际精神病学杂志》2019年第5期893-895,908,共4页Journal Of International Psychiatry

摘　　要：目的研究正念减压对口腔颌面部缺损游离皮瓣移植修复患者术前焦虑、抑郁情绪的影响。方法回顾性分析本院2016年6月~2018年12月135例口腔颌面部缺损游离皮瓣移植修复术患者资料,根据干预方法,将给予常规干预的65例患者分为对照组;进行正念减压干预的70例患者分为试验组。比较两组的手术情况、疼痛视觉模拟评分法(Visual analogue scale,VAS)、焦虑自评量表(Self-Rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、并发症。结果两组的手术时间、术中出血量比较,差异均无统计学意义(P>0.05);对照组的住院时间、供区创面愈合时间、受区创面愈合时间显著高于试验组,差异均有统计学意义(P<0.01)。两组术前VAS、SAS、SDS评分比较,差异均无统计学意义(P>0.05);对照组术后VAS、SAS、SDS评分显著高于试验组,差异均有统计学意义(P<0.01)。对照组的并发症发生率23.08%,显著高于试验组的并发症发生率8.57%,差异有统计学意义(P<0.05)。结论正念减压干预可显著降低口腔颌面部缺损游离皮瓣移植修复术后的创面愈合时间、疼痛及焦虑抑郁程度。Objective To study the effect of mindfulness and decompression intervention on anxiety and depression before free flap transplantation and repair of oral and maxillofacial defects. Methods A total of 135 cases of oral and maxillofacial defects free flap transplantation in our hospital from June 2016 to December 2018 were retrospectively analyzed. According to the intervention method,65 patients who received routine intervention were set as the control group;the 70 patients who underwent pressure intervention were set as the experimental group. The operation conditions,visual analogue scale(VAS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and complication were compared between the two groups. Results There were no significant differences in the operation time and intraoperative blood loss between the two groups(P>0.05). The hospitalization time,wound healing time in the donor area,and wound healing time in the recipient group were significantly higher than those in the experimental group(P<0.01). There were no significant differences in the preoperative VAS,SAS and SDS scores between the two groups(P>0.05). The VAS,SAS and SDS scores in the control group were significantly higher than those in the experimental group(P<0.01). The incidence of complications in the control group was 23.08%,which was significantly higher than that in the experimental group(8.57%)(P<0.05). Conclusion Mindfulness and decompression intervention can significantly reduce wound healing time,pain,anxiety and depression after oral flap repair and free skin flap repair,and promote clinical efficacy.

关 键 词：正念减压干预 口腔颌面部缺损 游离皮瓣移植修复 焦虑抑郁 

分 类 号：R395.5[哲学宗教—心理学]