唇腭裂患者父母的心理状况研究及早期心理干预

发布时间：2018-03-19 00:08

本文选题：唇腭裂　切入点：父母　出处：《宁夏医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的了解唇腭裂患儿父母躯体及心理健康状况，为其进行心理支持和治疗提供依据。再此基础上对唇腭裂患儿父母进行早期心理干预，，探讨早期心理干预对唇腭裂患儿父母的影响。方法采用CMI（Cornell Medical Index，康奈尔医学指数）、FAD（FamilyAssessmentDevice，家庭功能评定量表）及SSRS（Social Support Rating Scale，社会支持评定量表）对102名唇腭裂患者的父亲或母亲及126名正常儿童的父亲或母亲进行调查，以了解唇腭裂患儿父母的躯体表现特征、心理健康状况及父母所面对的家庭、社会方面问题。采用SCL-90（Symptom Checklist90，症状自评量表）对以上102名唇腭裂患者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，仍以以上126名正常儿童的父亲或母亲作为对照组。结果在康奈尔医学指数（CMI）中，病例组父母在躯体性疾病如眼和耳、心血管系统、肌肉骨骼系统、皮肤及神经系统方面各因子分值均显著高于对照组（P0.05），病例组父母在精神症状方面如不适应、抑郁、焦虑、敏感、愤怒及紧张方面各因子分值均显著高于对照组（P0.05）；在家庭功能评定量表（FAD）及社会支持评定量表（SSRS）中，病例组父母各因子分值均显著高于对照组（P0.01）。在症状自评量表（SCL-90）中，病例组父母在躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执及精神病性9个维度上各因子分值均显著高于对照组（P＜0.05）；病例组3个亚组间（唇裂组、腭裂组、唇腭裂组）各维度上并无显著性差异（P＞0.05）；病例组出院当天与入院当天的统计结果无显著差异（P＞0.05），而出院后3个月与入院当天的统计结果则有显著性差异（P＜0.05）。结论唇腭裂患儿父母的心身健康状况较差，所获得的家庭及社会支持较少，应给予足够的重视并积极开展心理干预。而早期的心理干预对唇腭裂患儿家长具有重大影响，且对患儿的心身健康也具有积极的意义。
[Abstract]:Objective to investigate the physical and mental health status of the parents of cleft lip and palate and to provide evidence for their psychological support and treatment, and then to carry out early psychological intervention to the parents of cleft lip and palate. To explore the influence of early psychological intervention on the parents of cleft lip and palate. Methods A total of 102 patients with cleft lip and palate and 126 normal children were investigated with CMI(Cornell Medical Index, Family Assessment device (Family function Assessment scale) and SSRS(Social Support Rating scale (Social support scale). In order to understand the parents of cleft lip and palate parents' physical characteristics, mental health status and parents facing the family, Using SCL-90(Symptom Checklist90 (symptom Checklist90), the parents of 102 patients with cleft lip and palate were investigated on the day of admission, and psychological intervention was carried out regularly during hospitalization and within 3 months after discharge. A questionnaire survey was conducted on the day of discharge and 3 months later. The parents of the above 126 normal children were used as the control group. Results in the Cornell Medical Index (CMI), parents in the case group were involved in somatic diseases such as eye and ear, cardiovascular system, musculoskeletal system. The scores of all factors in skin and nervous system were significantly higher than those in the control group (P 0.05). The parents in the case group were sensitive to mental symptoms such as unfit, depression, anxiety and sensitivity. In the family function assessment scale (FAD) and the social support rating scale (SSRS), the scores of each factor of the parents in the case group were significantly higher than those in the control group (P 0.01). In the symptom Checklist (SCL-90), the scores of each factor in the case group were significantly higher than those in the control group (P < 0.01). The scores of factors in the nine dimensions of somatization, obsessive symptoms, depression, anxiety, hostility, phobia, paranoid ideation and psychosis in the case group were significantly higher than those in the control group (P < 0.05), and there were three subgroups in the case group (cleft lip group, cleft palate group, cleft palate group). In cleft lip and palate group, there was no significant difference in each dimension (P > 0.05), but there was no significant difference between the two groups on the day of discharge from hospital and on the day of admission (P > 0.05), but there was significant difference in the statistical results between 3 months after discharge and on the day of admission (P < 0.05). Conclusion parents with cleft lip and palate have poor mental and physical health, less family and social support, and should pay enough attention and actively carry out psychological intervention, and the early psychological intervention has great influence on the parents of cleft lip and palate. And also has positive significance to the child's psychosomatic health.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R782.2;R395

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