唇腭裂母源性心理高危因素的调查研究

发布时间：2018-01-03 22:03

本文关键词：唇腭裂母源性心理高危因素的调查研究　出处：《第四军医大学》2011年硕士论文　论文类型：学位论文

【摘要】：唇腭裂是口腔颌面部最常见的先天性畸形,我国平均每生700个婴儿中就有1个患唇腭裂。唇腭裂不仅严重影响面部美观,还因口、鼻腔相通直接影响发育。严重的兔唇患儿会影响到吃奶,不能正常哺乳,会导致患儿营养不良。患儿在生长发育期间学习说话时吐字不清,会影响到语言的发育。因此,探讨唇腭裂的母源性高危因素,并以此指导唇腭裂发生的预防具有十分重要的意义。本研究从实证的角度出发,采用自编问卷、生活事件量表(LES)、特质焦虑量表(T-AI)、特质应对方式问卷(NC)、C型行为量表(CB)和艾森克人格问卷,对唇腭裂发生的母源性高危因素进行探讨,为孕期保健指导提供依据,以有效预防唇腭裂的发生。结果:综合测评结果显示,研究组与对照组相比,生活事件量表负性事件紧张总值、C型行为量表的焦虑、抑郁因子均高于正常对照组,且差异性具有统计学意义(P0.05);而生活事件量表正性事件紧张总值、特质焦虑量表和C型行为量表的理智、乐观和社会支持因子得分均显低于对照组,且具有显著统计学差异(P0.05)。为探讨怀孕期间诱发唇腭裂的有关危险因素,运用logistic逐步回归分析对危险因素进行筛选,最终进入模型的危险因素有5个,分别是学历、怀孕期间体重的变化、奶和豆的摄入量、保健品的服用及是否补充过叶酸。结论:1.孕期妇女具有高程度的焦虑、抑郁,负性事件刺激量,消极应对方式,人格方面神经质及掩饰性强,可能引发唇腭裂。2.孕期妇女具有积极应对方式,正性事件刺激量,理智,乐观及高度的社会支持,则可能降低唇腭裂的发生率。3.孕期妇女的学历、是否补充过叶酸、保健品的服用、奶和豆的摄入量及怀孕期间体重的变化均为产生唇腭裂的重要因素。
[Abstract]:Cleft lip and palate is the most common congenital malformation in oral and maxillofacial region. Cleft lip and palate not only seriously affect facial beauty, but also cause cleft lip and palate. Nasal communication directly affects the development. Severe children with harelip will affect milk, can not normal lactation, will lead to malnutrition. Children learn to speak in the growth and development of unclear words. Therefore, it is of great significance to explore the maternal high risk factors of cleft lip and palate and to guide the prevention of cleft lip and palate. From an empirical point of view, this study adopts a self-designed questionnaire, a life event scale, a trait anxiety scale and a trait coping style questionnaire. Type C behavior scale (CBB) and Eysenck Personality questionnaire (Eysenck Personality questionnaire) were used to investigate the maternal risk factors of cleft lip and palate, and to provide the basis for health care during pregnancy, in order to prevent cleft lip and palate effectively. Results: compared with the control group, the anxiety and depression factors of the life events scale were significantly higher in the study group than in the normal control group. The difference was statistically significant (P 0.05). The scores of positive event stress total, trait anxiety scale and C-type behavior scale were significantly lower than those of the control group. In order to investigate the risk factors of cleft lip and palate during pregnancy, logistic stepwise regression analysis was used to screen the risk factors. There were five risk factors for eventual entry into the model, including academic qualifications, changes in body weight during pregnancy, intake of milk and beans, use of health products and supplementation of folic acid. Conclusion 1. Pregnant women have high levels of anxiety, depression, negative event stimulation, negative coping style, and strong neuroticism and concealment in personality. May cause cleft lip and palate .2. pregnant women have positive coping style, positive event stimulation, rational, optimistic and high social support, may reduce the incidence of cleft lip and palate. Supplementation of folic acid, use of health products, intake of milk and beans, and changes in body weight during pregnancy were all important factors for cleft lip and palate.
【学位授予单位】：第四军医大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R782.2;R395

【参考文献】