颌面肿瘤患者术后情绪障碍的评估及心理行为干预对情绪的影响  

Assessment of Postoperative Emotion Disorders and Effects of Psychological Intervention on Their Sentiment in Patients with Oral Maxillofacial Tumors

作　　者：彭红莉[1] 杨利辉[1] 王祖承[2] 

机构地区：[1]湖南省脑科医院,湖南长沙410007 [2]上海精神卫生中心,上海200030

出　　处：《医学临床研究》2003年第3期181-182,共2页Journal of Clinical Research

摘　　要：目的对颌面肿瘤患者手术前后的心理状况进行评估 ,探讨心理行为干预前后患者情绪 (SDS积分 )的变化。方法将 6 2例颌面肿瘤患者按术后颜面及功能改变情况分为轻度 (n =36 )和中度 (n =2 6 )两组。应用焦虑自评量表 (SAS)、抑郁自评量表 (SDS)、症状自评量表 (SCL 90 )量表随机对其进行术后心理状况调查以及对SDS >4 0分的患者进行干预后再进行SDS评定。结果①轻度和中度以上两组比较 ,SAS、SDS和SCL 90的躯体化、人际关系、抑郁、敌意、其他因子差异均有显著性 (P <0 .0 1)。②术后SDS >4 0分的患者心理行为干预前、后比较SDS差异有显著性 (P <0 .0 0 1)。结论颌面肿瘤患者术后颜面及功能改变严重的患者 ,其抑郁、焦虑情绪反应较轻度改变者明显 ,且术后患者抑郁情绪在进行心理行为干预后得到了明显的改善。ObjectivesTo assess the psychological state in post operative patients with oral maxillofacial tumors and investigate their emotional changes before and after psycho behavioral intervention for 4 weeks.MethodsAccording to the postoperative facial and functional changes, sixty two patients with oral maxillofacial tumors were divided into mild (n=36) and moderate (n=26)damage groups.Using the SAS, SDS and SCL 90 quantitative tables, their postoperative psychological states were surveyed. As for those patients with severe depression (SDS scores >40), their SDS was assessed once more 4 wks after psycho behavioral intervention.Results①Scores of depression and anxiety in the moderate damage group were significantly higher than those of the mild damage group(P<0.01),including personnel inter relation, depression, hostility and other emotional factors;② When SDS scores of pre and post intervention in patients with scores >40 were compared, significant differences existed(P<0.001).ConclusionThe post operative patients with major face functional damage experience more severe depression and anxiety than those with minor face functional damage. The psycho behavioral intervention after operation can distinctly improve their sentiment of depression.

关 键 词：颌面肿瘤 术后 情绪障碍 评估 心理行为干预 情绪 

分 类 号：R739.81[医药卫生—肿瘤]