摘要
目的探讨合理情绪疗法对骨性Ⅲ类错颌畸形患者术前心理状况的影响。方法将40例骨性Ⅲ类错颌畸形患者随机分为观察组和对照组各20例。对照组给予口腔科术前常规护理,实验组在此基础上应用合理情绪疗法进行心理干预,分为心理诊断阶段、领悟阶段、修通阶段、再教育阶段4个阶段采取相应的干预措施。干预前和干预后即刻采用症状自评量表(SCL-90)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)进行评估。结果干预后观察组SCL-90改善幅度显著优于对照组,HAMA评分显著低于对照组(均P<0.05)。结论合理情绪疗法能够明显改善骨性Ⅲ类错颌畸形患者术前焦虑程度,让患者更积极参与治疗。
Objective To explore the impact of rational-emotive therapy （RET） on psychological status in patients with class Ill skeletal malocclusion. Methods A total of 40 patients with class UI malocclusion were randomly divided into an experimental group and a control group of 20. The control group was given routine nursing care, while the experimental group additionally received RET interventions which included four phases： diagnostic, comprehending, correction, and re-education. The Symptom Checklist （SCL-90）, Hamilton Depression rating scale （HAMD）, and Hamilton Anxiety rating scale （HAMA） were used to measure the effect before and after the intervention. Results The improvement of SCL-90 was significantly greater, whereas the YIAMA score was significantly lower, in the experimental group than the control group after the intervention （P〈0.05 for all）. Conclusion RET can relieve preoperative anxiety in patients with class Ⅲ malocclusion, and motivate them to involve in the treatment.
关键词
骨性Ⅲ类错颌畸形
合理情绪疗法
心理干预
焦虑
抑郁
Class Ⅲ skeletal malocclusion
rational emotive therapy
psychological intervention
anxiety
depression
作者简介
邢育珍：女，本科，主管护师，护士长刘蓉，15802784473@163．com
