口腔颌面部创伤患者创伤后积极心理反应及相关影响因素分析

doi:10.19439/j.sjos.2017.01.022

摘要/Abstract

摘要： 目的了解口腔颌面部创伤患者创伤后积极心理反应及相关影响因素。方法使用自行设计的一般资料问卷、创伤后成长评定量表和自我形象问卷对105例口腔颌面部创伤住院患者进行调查,采用SPSS 18.0软件包对所得数据进行统计学分析。结果患者创伤后积极心理得分为56.01±17.322,自我形象平均分为51.33±7.306;男性患者创伤后在新的可能性、个人力量、自我转变、人生感悟方面得分较高,与女性相比差异显著（P<0.05）;不同年龄段创伤后积极心理反应差异均无显著性;随着文化程度的提高,患者创伤后个人力量（P=0.031）和自我转变（P=0.01）表现越积极;患者创伤后积极心理得分与自我形象得分呈负相关（r=-0.318,P<0.001）。结论创伤后男性患者较女性有更加积极的心态。随着文化程度的提高,患者在个人力量和自我转变方面有更加积极的心理反应,而在与他人关系、新的可能性和人生感悟方面无显著变化;患者对自我形象越好,心理越积极。

关键词: 口腔颌面部, 创伤, 积极心理, 影响因素

Abstract: PURPOSE: To investigate the positive psychological reaction of patients with oral and maxillofacial trauma and related factors. METHODS: One hundred and five hospitalized patients with oral and maxillofacial trauma were investigated by self-designed general data questionnaire, positive psychological scale posttraumatic growth evaluation of quantitative PTG, and self-image questionnaire. SPSS 18.0 software package was used to analyze the data. RESULTS: Positive psychological score of the patients was 56.01±17.322, and self-image average score was 51.33±7.306. There were significant differences between male and female patients after trauma in new possibilities, personal power, self transformation and personal feeling (P<0.05); there was no significant difference between different ages in positive psychological reaction.With the improvement of educational level of patients, better personal power (P=0.031) and self transformation (P=0.01), and more positive psychological reaction were observed; Posttraumatic positive psychology of patients was negatively correlated with self-image score (r=-0.318, P<0.001). CONCLUSIONS: The male patients with oral and maxillofacial trauma have more positive attitude than female. With the improvement of educational level, more positive psychological reaction was documented in term of personal strength, self-transformation,but no obvious change in relationship with others, new possibilities and personal feeling. The better self image, the more positive psychological reaction was displayed.

Key words: Oral and maxillofacial, Trauma, Positive psychological, Influential factors

中图分类号:

R782.4

李丽, 袁卫军, 陈巧露, 姚瑶, 黄莹玭. 口腔颌面部创伤患者创伤后积极心理反应及相关影响因素分析[J]. 上海口腔医学, 2017, 26(1): 102-105.

LI Li, YUAN Wei-jun, CHEN Qiao-lu, YAO Yao, HUANG Ying-bi. Influential factors analysis of positive psychology in patients with oral and maxillofacial trauma[J]. Shanghai Journal of Stomatology, 2017, 26(1): 102-105.

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