早期心理干预对唇腭裂患儿父母的影响.docVIP

早期心理干预对唇腭裂患儿父母的影响 　　[摘要] 目的 对唇腭裂患儿父母的心身健康状况进行评估并进行早期心理干预，探讨早期心理干预对唇腭裂患儿父母的影响。方法 采用症状自评量表（SCL-90）对102名唇腭裂患儿的父亲或母亲在入院当天进行调查，在住院期间及出院后3个月内定期地进行心理干预，并于出院当天及3个月后再进行问卷调查。以126名正常儿童的父亲或母亲作为对照组。结果 病例组患儿父母在躯体化、强迫症状、抑郁、焦虑等9个维度上分值均显著高于对照组（P 　　0.05）；病例组3个亚组（唇裂组、腭裂组、唇腭裂组）间差异无统计学意义（P0.05）；病例组出院当天与入院时的统计结果差异无统计学意义（P0.05），出院后3个月与入院时的统计结果有显著差异（P0.05）。结论 唇腭裂患儿父母的心身健康状况较差，早期心理干预对唇腭裂患儿家长具有重大影响，而且对患儿的心身健康也具有积极的意义。 　　[关键词] 唇腭裂； 父母； 调查； 早期心理干预 　　[中图分类号] R 395 [文献标志码] A [doi] 10.7518/hxkq.2013.04.011 　　Effects of an early psychological intervention on parents of children with cleft lip/palate Wang Yangyang1， Xin Yanhua1， Ma Jian2， Xin Xiuhong3， Shi Bing4， Huang Yongqing2. （1. Postgraduate Administration Office， College of Stomatology， Ningxia Medical University， Yinchuan 750004， China； 2. Dept. of Oral and Maxillofacial Surgery， Ge-neral Hospital of Ningxia Medical University， Yinchuan 750004， China； 3. Dept. of Medical Psychology， College of Clinical Medicine， Ningxia Medical University， Yinchuan 750004， China； 4. State Key Laboratory of Oral Diseases， Dept. of Cleft and Palate Surgery， West China Hospital of Stomatology， Sichuan University， Chengdu 610041， China） 　　[Abstract] Objective To provide basis for effects of an early psychological intervention on parents of children with cleft lip/palate， and investigate the effects of an early psychological intervention to them. Methods One self-administered questionnaire（SCL-90） was applied in 102 parents of children with cleft lip/palate， compared to 126 　　parents of healthy individuals on the day of admission. They were given the psychological intervention during hospita-lization and 3 months after discharge. The questionnaire（SCL-90） was again applied to them on the day of discharge and 3 months after discharge. Results Using the questionnaire（SCL-90）， the answer scores of somatization， obsessive- 　　compulsive， depression and anxiety etc. were significantly higher than those of the control group（P0.05）. There were no statistical