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目的:探讨性格因素对口腔颌面创伤患者心理干预临床效果的影响。方法:采用暴露疗法、催眠等方式,对72例不同程度口腔颌面创伤住院患者进行心理干预,通过SCL-90症状自评清单对患者干预前后的心理状态进行评估,采用SPSS18.0软件包对数据进行统计学分析。结果:干预前,口腔颌面创伤患者SCL-90因子得分普遍高于常模(P<0.001),干预后创伤患者的心理健康水平与常模无显著差异。不同创伤严重等级患者心理干预效果差异显著(P<0.001),性格因素对干预效果的影响在强迫、人际关系、抑郁和偏执4个因子上差异显著。结论:心理干预的效果与性格因素有关,早期心理干预对内向性格类型的口腔颌面创伤患者的治疗效果优于外向性格类型的患者;创伤严重程度对心理干预的影响与性格因素有关。
Objective: To investigate the impact of personality factors on the clinical effect of psychological intervention in patients with oral and maxillofacial trauma. Methods: 72 patients with different degrees of oral and maxillofacial inpatients were subjected to psychological intervention by means of exposure therapy and hypnosis. The psychological status of patients before and after intervention was assessed by SCL-90 Symptom Checklist. SPSS18.0 software package Data for statistical analysis. Results: Before intervention, the score of SCL-90 in patients with oral and maxillofacial trauma was generally higher than that of the norm (P <0.001). There was no significant difference in the mental health level between the trauma patients and the norm before intervention. There were significant differences (P <0.001) in psychological intervention among patients with different severity of trauma. The influence of personality factors on intervention was significantly different among the four factors of coercion, interpersonal relationship, depression and paranoid. Conclusion: The effect of psychological intervention is related to personality factors. Early psychological intervention is superior to introverted personality type in traumatic oral and maxillofacial trauma patients. The effect of traumatic severity on psychological intervention is related to personality factors.