口腔颌面部损伤患者自我认同感与病耻感及美学修复倾向的相关性分析  

Correlation analysis of self-identity, shame, and aesthetic restoration tendencyin patients with oral and maxillofacial injuries

作　　者：庄燕 阚卫娟 吴祥冰 ZHUANG Yan;KAN Weijuan;WU Xiangbing(Department of Stomatology,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院口腔科,江苏无锡214000

出　　处：《中华全科医学》2024年第1期46-49,共4页Chinese Journal of General Practice

基　　金：江苏省自然科学基金项目(M202327)。

摘　　要：目的 探讨口腔颌面损伤患者自我认同感与病耻感及美学修复倾向的关系,旨在使口腔颌面损伤患者对康复效果了解更深入,并为制定更有效的临床干预和支持措施提供依据。方法 选取2020年1月—2022年12月南京医科大学附属无锡人民医院收治的160例口腔颌面部损伤患者,采用自我认同感量表、社会影响量表(评价病耻感)、美学修复倾向量表对患者进行调查,采用Pearson相关系数法分析自我认同感、病耻感、美容修复倾向之间的关系,通过构建结构方程模型分析自我认同感在病耻感与美学修复倾向之间的中介作用。结果 口腔颌面部损伤患者自我认同感评分为(50.47±6.80)分,病耻感评分为(71.33±5.96)分,美学修复倾向评分为(45.24±5.38)分。自我认同感评分与病耻感评分呈负相关关系(r=-0.472,P=0.016),自我认同感评分与美学修复倾向评分呈正相关关系(r=0.517,P=0.008),病耻感评分与美学修复倾向评分呈正相关关系(r=0.490,P=0.012)。病耻感对美学修复倾向存在明显预测力(t=5.817,P<0.001),病耻感对自我认同感存在明显的预测力(t=-4.263,P<0.001),自我认同感在病耻感与美学修复倾向之间有部分中介作用(t=3.317,P<0.001)。结论 口腔颌面损伤患者自我认同感、病耻感、美学修复倾向之间存在密切关系,自我认同感在病耻感与美学修复倾向之间有一定的中介作用。Objective To explore the relationship between self-identity,shame and aesthetic restoration tendencies in patients with oral and maxillofacial injuries,with the aim of deepening understanding of rehabilitation outcomes and providing a basis for developing more effective clinical interventions and support.Methods A total of 160 patients with oral and maxillofacial injuries selected at Wuxi People's Hospital Affiliated to Nanjing Medical University from January 2020 to December 2022.Patients were assessed with self-identity scale,social impact scale(to assess stigma)and aesthetic repair tendency scale.The Pearson correlation coefficient method was used to analyze the relationship between self-identity,stigma and aesthetic repair tendency,and the mediation effect analysis program was used to analyze the mediation effect between self-identity,stigma and aesthetic repair tendency.Results The self-identity score of patients with oral and maxillofacial injuries was(50.47±6.80)points,the stigma score was(71.33±5.96)points and the aesthetic repair tendency score was(45.24±5.38)points.There was a significant negative correlation between self-identity score and stigma score(r=-0.472,P=0.016),a significant positive correlation between self-identity score and aesthetic repair tendency score(r=0.517,P=0.008),and there was significant positive correlation between stigma score and aesthetic repair tendency score(r=0.490,P=0.012).Stigma had significant predictive power for aesthetic repair tendency(t=5.817,P<0.001),and stigma had significant predictive power for self-identity(t=-4.263,P<0.001).Self-identity played a significant mediating role between stigma and aesthetic repair tendency(t=3.317,P<0.001).Conclusion There was a strong relationship between self-identity,stigma and aesthetic repair tendency in patients with oral and maxillofacial injuries.Self-identity played a mediating effect between stigma and aesthetic repair tendency.

关 键 词：口腔颌面损伤 自我认同感 病耻感 美学修复倾向 中介效应 

分 类 号：R782[医药卫生—口腔医学]