国际口腔医学杂志

国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (1): 26-29.doi: 10.7518/gjkq.2019.01.005

• 论著 • 上一篇    下一篇

视频示范法对围手术期唇腭裂患儿父母的心理干预效果分析

刘育豪,白娜,程梦龙,石冰,李芷慧,龚彩霞()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院唇腭裂外科 成都 610041
  • 收稿日期:2018-02-18 修回日期:2018-09-05 出版日期:2019-01-01 发布日期:2019-01-11
  • 通讯作者: 龚彩霞
  • 作者简介:刘育豪,学士,Email：2014181641015@stu.scu.edu.cn
  • 基金资助:
    四川省卫生和计划生育委员会科研课题(17PJ342);国家临床重点建设专科基金(2011);四川大学大学生创新创业训练计划(201710612178)

Effect of video modeling on the perioperative psychological status of parents of children with cleft lip and palate

Yuhao Liu,Na Bai,Menglong Cheng,Bing Shi,Zhihui Li,Caixia Gong()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2018-02-18 Revised:2018-09-05 Online:2019-01-01 Published:2019-01-11
  • Contact: Caixia Gong
  • Supported by:
    This study was supported by Scientific Research Project of Health Commission of Sichuan Province(17PJ342);the National Key Clinical Specialist Construction Programs of China(2011);Training Program of Innovation and Entrepreneurship for Undergraduates of Sichuan University(201710612178)(201710612178)

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摘要：

目的 对比团体心理咨询与视频示范法结合团体心理咨询对围手术期唇腭裂患儿父母的心理干预疗效。方法 选取37名唇腭裂患儿的父母,接受视频示范法干预实施自身对照,设为对照组1,采取自制问卷在干预前后即刻对父母的住院流程认知水平进行评估。另选取81名唇腭裂患儿的父母随机分为2组,其中40例为试验组,在入院后接受常规团体心理咨询与视频示范法干预;另外41例为对照组2,在入院后只接受常规团体心理咨询。采用自制问卷评估干预前患儿父母对住院流程的认知水平,焦虑自评量表、抑郁自评量表、自制问卷评估患儿父母出院时的焦虑及抑郁状态、住院流程认知水平。使用SPSS 16.0进行数据统计分析。结果 干预后与干预前相比,对照组1的自制问卷得分明显升高（P<0.01）;试验组的自制问卷得分明显升高（P<0.01）,而对照组2的自制问卷得分没有明显变化（P>0.05）。与对照组2相比,试验组在出院时的SAS得分明显降低（P<0.05）,SDS得分未见明显差异（P>0.05）,自制问卷得分明显升高（P<0.01）。结论 在团体心理咨询的基础上采用视频示范法,能够有效改善围手术期唇腭裂患儿父母的心理焦虑状态。

关键词: 唇腭裂, 围手术期, 视频示范法, 焦虑, 抑郁

Abstract:

Objective To analyze the effect of video modeling on the perioperative psychological status of parents of children with cleft lip and palate. Methods Thirty-seven parents of children with cleft lip and palate were selected and all accepted video modeling intervention after admission as the control group 1. A self-made questionnaire was used to assess the cognitive level of inpatient procedures of parents before and after intervention. Another 81 parents of children with cleft lip and palate were selected and randomly divided into 2 groups. The test group including 40 patients received routine group psychological counseling and video modeling intervention after admission, whereas the control group 2 including 41 patients received only group psychological counseling. The self-made questionnaire was used to assess the cognitive level of inpatient procedures before intervention and before discharge. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the degree of anxiety and depression of patients before discharge. SPSS 16.0 was used for data statistics and analysis. Results After intervention, the scores of the self-made questionnaire in the control group 1 and the test group were significantly higher (P<0.01; P<0.01), while the scores of the control group 2 were not significantly changed (P>0.05). Compared with the control group 2, the scores of SAS in the test group were significantly lower (P<0.05), the scores of SDS were not significantly changed (P>0.05), and the scores of the self-made questionnaire were significantly increased (P<0.01). Conclusion The implementation of video modeling in addition to routine group psychological counseling can significantly relieve the perioperative psychological status of parents of children with cleft lip and palate.

Key words: cleft lip and palate, perioperative period, video modeling, anxiety, depression

中图分类号: 

  • R782.2
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