本文選題：唇腭裂　切入點(diǎn)：父母　出處：《寧夏醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的了解唇腭裂患兒父母軀體及心理健康狀況，為其進(jìn)行心理支持和治療提供依據(jù)。再此基礎(chǔ)上對(duì)唇腭裂患兒父母進(jìn)行早期心理干預(yù)，，探討早期心理干預(yù)對(duì)唇腭裂患兒父母的影響。 方法采用CMI（Cornell Medical Index，康奈爾醫(yī)學(xué)指數(shù)）、FAD（FamilyAssessmentDevice，家庭功能評(píng)定量表）及SSRS（Social Support Rating Scale，社會(huì)支持評(píng)定量表）對(duì)102名唇腭裂患者的父親或母親及126名正常兒童的父親或母親進(jìn)行調(diào)查，以了解唇腭裂患兒父母的軀體表現(xiàn)特征、心理健康狀況及父母所面對(duì)的家庭、社會(huì)方面問題。采用SCL-90（Symptom Checklist90，癥狀自評(píng)量表）對(duì)以上102名唇腭裂患者的父親或母親在入院當(dāng)天進(jìn)行調(diào)查，在住院期間及出院后3個(gè)月內(nèi)定期地進(jìn)行心理干預(yù)，并于出院當(dāng)天及3個(gè)月后再進(jìn)行問卷調(diào)查，仍以以上126名正常兒童的父親或母親作為對(duì)照組。 結(jié)果在康奈爾醫(yī)學(xué)指數(shù)（CMI）中，病例組父母在軀體性疾病如眼和耳、心血管系統(tǒng)、肌肉骨骼系統(tǒng)、皮膚及神經(jīng)系統(tǒng)方面各因子分值均顯著高于對(duì)照組（P0.05），病例組父母在精神癥狀方面如不適應(yīng)、抑郁、焦慮、敏感、憤怒及緊張方面各因子分值均顯著高于對(duì)照組（P0.05）；在家庭功能評(píng)定量表（FAD）及社會(huì)支持評(píng)定量表（SSRS）中，病例組父母各因子分值均顯著高于對(duì)照組（P0.01）。在癥狀自評(píng)量表（SCL-90）中，病例組父母在軀體化、強(qiáng)迫癥狀、抑郁、焦慮、敵對(duì)、恐怖、偏執(zhí)及精神病性9個(gè)維度上各因子分值均顯著高于對(duì)照組（P＜0.05）；病例組3個(gè)亞組間（唇裂組、腭裂組、唇腭裂組）各維度上并無顯著性差異（P＞0.05）；病例組出院當(dāng)天與入院當(dāng)天的統(tǒng)計(jì)結(jié)果無顯著差異（P＞0.05），而出院后3個(gè)月與入院當(dāng)天的統(tǒng)計(jì)結(jié)果則有顯著性差異（P＜0.05）。 結(jié)論唇腭裂患兒父母的心身健康狀況較差，所獲得的家庭及社會(huì)支持較少，應(yīng)給予足夠的重視并積極開展心理干預(yù)。而早期的心理干預(yù)對(duì)唇腭裂患兒家長(zhǎng)具有重大影響，且對(duì)患兒的心身健康也具有積極的意義。
[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.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R782.2;R395

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