唇腭裂患儿母亲心理状况对照研究110例

Comparative study on psychological state of mothers whose children with cleft lip and palate

目的:为进一步了解和分析唇腭裂患儿母亲的心理健康状况,为对其进行心理支持和治疗提供依据。方法:采用生活事件量表(LES)、特质焦虑量表(T-AI)、特质应对方式问卷(NC)和C型行为量表(CB)对唇腭裂患儿110例母亲及正常儿童的80例母亲的心理状态进行定性和定量分析。结果:综合测评结果显示,研究组与对照组相比,LES负性事件紧张总值、CB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(P<0.01);而LES正性事件紧张总值、T-AI和CB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(P<0.01)。结论:唇腭裂患儿母亲心理焦虑较严重,但并非单一由唇腭裂患儿出现的事件而导致;唇腭裂患儿母亲社会支持较低,应注重加强社会、家庭支持对患儿母亲的心理护理,从而提高其应激能力,这对患儿的治疗和康复有着重要意义。

Objective To observe and analysize the mental status of mothers of children with cleft lip and palate,then to provide reference for psychological support and treatment for them.Methods The qualitative and quantitative analysis for mental status of 110 mothers of children with cleft lip and palate and 80 mothers of healthy children through life event scale（LES）,trait anxiety scale（T-AI）,trait coping style questionnaire（NC） and C Mode behavior scale（CB）.Results The negative event tension value of LES,anxious and depressed factor of CB of experimental group were high than those of controul group.The differences were statistical significant（P0.01）;The value of senses,optimistic and social support and the value of positive event tension of LES of experimental group were significantly lower than those of controul group（P0.01）.Conclusion The mental anxiety of mothers of children with cleft lip and palate was very serious.However,it was not noly because of their children＇s diease;The social support of the mothers of children with cleft lip and palate were very poor.Thus,the social and family support for those mothers should be paied more attention to increase their stress capability and those were very important for the children＇s treatment and convalescence.