【作者】 杨亮；

【导师】 刘磊；

【作者基本信息】 四川大学 ， 口腔临床医学， 2007， 硕士

【摘要】 为了解颌面部骨折患者心理状况，对2006年～2007年在四川大学华西口腔医院口腔颌面外科50例颌面部骨折入院患者进行一般情况调查、简易应对方式、自我评价抑郁和自我评价焦虑的问卷调查。研究步骤为：面对面发放问卷；数据收集和处理；采用SPSS13.0进行统计分析。本研究中，患者自评焦虑量表总分均值为48.64±13.05，自评抑郁量表总分均值为43.68±13.52，总体呈现负性精神状态，抑郁与焦虑结果差异不明显(P＞0.05)；其中35例患者的SDS及SAS分值高于常模，对所有自变量采用强制自变量进入回归模型的办法，筛选出的重要自变量，性别、学历、家庭月收入、医疗费用解决方式、应对方式、骨折部位、面容改变程度(自我评价)；患者心理状态有显著性别差异，与费用承担方式、受伤部位、应对方式和面容改变程度呈正相关性，与家庭收入与学历呈负相关性；患者的心理状况表现为多种躯体症状，其中以睡眠障碍、尿频、消化不良，头昏、乏力等最为多发。综上所述，当患者发生颌面部骨折后，普遍表现出一种负性精神状态，患者的精神状态有显著性别差异，医疗费用解决方式、应对方式、骨折部位和面容改变程度与之相关，家庭收入与学历与之呈负相关。患者的心理状况表现为多种躯体症状，因此，颌面部骨折患者心理状况应该引起医务工作人员和患者家属的重视，并在对患者的护理中给予重视。更多还原

【Abstract】 To evaluate the psychological situations of the maxillofacial bone factures patients, discuss the relationship between the psychological situations and the bone fractures, and provide clinical treatment to improve the psychological situations of these patients. Fivety patients in West China Hospital of Stomatology, Sichuan University during the year 2006 - 2007 were selected to form the studied group. All these patients are identified with radiograph and CT in West China Hospital. All these patients are tested by the common situation questionnaire, simple coping ways questionnaire, the self-rating depression scale and the self-rating anxiety scale. We deliver these questionnaires to patients face to face. Then we collect the scales completed by patients themselves. We handle these dada with SPSS 13.0. The scores suggest that both the SDS scores and the SAS scores of the patients are relatively high compared with the common people. But the SAS total scores sign no significant difference between the SDS total scores, (p>0.05). 35 patients’ scores are higher than that of common model. We establish the model with SPSS 13.0 to analyse the results. We analyse the SDS scores and the SAS scores to find out that the gender is related significant to the final result, the treatment cost、facial alternation、coping ways take relation with the scores and the family income、education background are negative correlation.Based on these findings, this study suggests that the psychological situation of the patients with maxillofacial fractures is always a negative psychological situation. And this kind of negative psychological situation may manifest the physical symptoms. It’s significant for the daily nurse care and doctor’s attention.更多还原