基于微笑行动的语言训练对唇腭裂患儿心理压力和颌面部美观度的影响  

Effect of Language Training Based on Smile Campaign on Mental Stress and Maxillofacial Aesthetics in Children with Cleft Lip and Palate

作　　者：张静 韩晓军 牛国超 ZHANG Jing;HAN Xiaojun;NIU Guochao(Department of Emergency,Second Rongjun Special Care Hospital of Hebei Province,Shijiazhuang 050000,Hebei,China;Department of Stomatology,Second Rongjun Special Care Hospital of Hebei Province,Shijiazhuang 050000,Hebei,China;Department of Gastroenterology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei,China)

机构地区：[1]河北省第二荣军优抚医院急诊科,河北石家庄050000 [2]河北省第二荣军优抚医院口腔科,河北石家庄050000 [3]河北省医科大学附属第二医院消化科,河北石家庄050000

出　　处：《中国美容医学》2025年第2期62-65,共4页Chinese Journal of Aesthetic Medicine

基　　金：医药卫生科技项目(编号:210967B)。

摘　　要：目的:观察基于微笑行动的语言训练对唇腭裂患儿心理压力和颌面部美观度的影响。方法:选取2019年4月-2022年6月笔者医院104例唇腭裂患儿,按照数字表法随机分为两组,均行手术治疗,对照组围术期予以常规护理干预,观察组于其基础上进行基于微笑行动的语言训练,比较两组干预前后儿童焦虑情绪筛查量表(Screen for child anxiety related emotional disorders,SCARED)评分、儿童抑郁症状自评量表(Depression self-rating scale for children,DSRSC)评分、Achenbach儿童行为量表(Child behavior checklist,CBCL)评分、颌面部美观满意度。结果:观察组干预后SCARED中惊恐、学校焦虑、广泛性焦虑、社交焦虑评分显著低于对照组(P<0.05),两组干预前后分离性焦虑评分比较差异无统计学意义(P>0.05);观察组干预后DSRSC中积极项目评分显著高于对照组(P<0.05),消极项目评分显著低于对照组(P<0.05);观察组干预后男性CBCL评分、女性CBCL评分显著低于对照组(P<0.05);观察组患儿颌面部美观满意度显著优于对照组(P<0.05)。结论:基于微笑行动的语言训练可有效减少唇腭裂患儿焦虑、抑郁情绪,减轻心理压力,改善患儿行为问题,提高其颌面部美观满意度。Objective To observe the effect of language training based on smile campaign on mental stress and maxillofacial aesthetics in children with cleft lip and palate.Methods A total of 104 children with cleft lip and palate who were admitted to the hospital from April 2019 to June 2022 were selected and divided into two groups by random number table method.Both groups were given surgical treatment.The control group was given routine nursing intervention during the perioperative period,while the observation group was given language training based on smile campaign.The Screen for Child Anxiety Related Emotional Disorders(SCARED)scores,Depression Self-Rating Scale for Children(DSRSC)scores,Achenbach Child Behavior Checklist(CBCL)scores and satisfaction with facial aesthetics were compared between the two groups.Results After intervention,the scores for panic,school anxiety,generalized anxiety and social anxiety in the SCARED of observation group were significantly lower than those of the control group(P<0.05).There was no significant difference in separation anxiety score between the two groups before and after intervention(P>0.05).After intervention,the positive score in the DSRSC of observation group was significantly higher than that of the control group(P<0.05),and the negative score was significantly lower than that of the control group(P<0.05).After intervention,male and female CBCL scores of the observation group were significantly lower than those of the control group(P<0.05).Children in the observation group were more satisfied with maxillofacial aesthetics than the control group(P<0.05).Conclusion Language training based on smile campaign can effectively reduce anxiety and depression in children with cleft lip and palate,alleviate their mental stress,improve their behavioral problems,and improve their satisfaction with maxillofacial aesthetics.

关 键 词：唇腭裂 微笑行动 语言训练 心理压力 颌面部美观 满意度 

分 类 号：R473.78[医药卫生—护理学]