8～12岁唇腭裂患者的心理调查研究

Psychological research patients of 8-12 years with cleft of lip and/or palate

目的探讨学龄期唇腭裂患者的心理状态和行为习惯。方法选取8～12岁一期手术前的唇腭裂患者及其家长50例作为观察组;选取8～12岁非唇腭裂患者及家长50例作为对照组,分别对其进行儿童社交焦虑量表、自尊量表、Achenbach儿童行为量表测定。结果家长用Achenbach儿童行为量表唇腭裂患者异常率为22%,高于对照组的8%(χ2=3.85,P<0.05);学龄期唇腭裂患者社交焦虑量表得分高于非唇腭裂患者(t=5.29,P<0.01);学龄期唇腭裂患者自尊量表得分低于非唇腭裂患者(t=4.25,P<0.01)。结论学龄期唇腭裂患者存在较为明显的心理和行为问题,应有针对性地采取相应的护理措施及健康教育。

Objective To investigate the pyschological states and behavior habits of school-age children with cleft of lip and/or palate.Methods 50children at the age of 8-12with cleft of lip before the first operation and their parents and 50normal control children were tested with SAS（social anxiety scale）,SEC（self esteem scale）,and CBCL（children behavior checklist）.Results The rate of abnormal tested by CBCL（children behavior checklist）-parent in patients was 22%,was higher than that in normal 8%（χ2= 3.85,P0.05）.The scores of SAS in patients was higher than those in control（t=5.29,P0.01）.Conclusion School-age children with cleft of lip and/or palate had obvious psychological and behavioral problems,thus,corresponding nursing and health education should be applied.