颌面部畸形病人的心理状况及心理康复

Study on the psychological character and psychological rehabilitation of maxillofacial deformity patients

目的 研究颌面部畸形病人在整形手术前、中、后的心理状况及其心理康复方法。方法 选择无精神病及家族史的颌面部整形择期手术患者 37例，调查分析其心理状况、社会人口学特征等资料，并实施心理干预。结果 颌面部畸形病人手术前和手术期间较紧张焦虑、易激动、合作性差、心理健康程度低，经过心理干预都有不同程度的好转。结论 针对病人的心理特点开展术前心理准备，术中、后期加强心理治疗和心理护理效果显著。

Objective To study the psychological character of maxillofacial deformity patients before,during and after maxillofacial plastic surgery and determine the rehabilitation methods for these patients. Method Thirty-seven maxillofacial deformity patients having elective maxillofacial plastic surgery were tested of psychological character and psychosocial factors. None of these patients has psychosis or psychosis family history.They were treated with psychological interventions. Result Before and during operation, these patients were tended to nervous,anxious and had lower cooperation and poorer mental health.These were all improved by psychological interventions. Conclusions It is necessary to carry out psychological preparation before operation and develop psychological therapy and nursing during and after operation according to the patients psychological character.