摘要
目的:通过采用艾森克人格问卷(Eysenck personality questionnaire,EPQ)评估分析正颌患者手术治疗前后的性格特征变化,并与无颌面畸形的健康人群比较分析,为正颌患者的心理干预提供参考。方法:选取2014年6月-2015年12月笔者医院就诊行正颌手术的严重颌面部畸形患者,在其正颌手术前、后心理状态进行EPQ问卷调查,分析其心理特征变化情况,并与正常对照组(同期医院职工及学生)比较。结果:本研究共纳入30例正颌患者和100例正常对照人群。研究组术前P维度(精神质)评分高于对照组,差异有统计学意义(P=0.007);其余E、N、L等维度两组间比较差异无统计学意义(P>0.05)。研究组术前和术后P、E、N维度评分比较,差异均有统计学意义(P<0.05);L维度(掩饰性)评分组间比较差异无统计学意义(P>0.05)。研究组术后与对照组的E、N维度评分比较,差异有统计学意义(P<0.05);P、L维度两组间比较差异均无统计学意义(P>0.05)。结论:颌面部畸形患者对比正常对照组人格特征多为焦虑,忧郁,不友好的人格倾向,术后患者人格特征得到明显改善,建议正颌医生关注患者手术前后心理特征变化,做好心理评估及干预。
Objective Through the method of the EPQ questionnaire to evaluate the personality characteristics before and after surgical treatment of orthognathic patients, and compared with healthy people without maxillofacial deformity. Provides reference for the psychological care of orthodontic patients. Methods Selected patients with severe maxillofacial deformities who underwent orthognathic surgery in our hospital from June 2014 to December 2015. EPQ questionnaires were conducted before and after orthognathic surgery to analyze the changes of psychological characteristics, and compared with the normal control group (hospital staff and students in the same period). Results A total of 30 patients with orthognathic and 100 normal controls were included in this study. The preoperative P dimension (psychoticism) score of the study group before operation was higher than that of the control group, the difference was statistically significant(P=0.007). The other E, N, L dimensions showed no significant difference between the two groups(P >0.05). There were significant differences in P, E and N scores before and after operation in the study group (P <0.05). There was no significant difference in L dimension (concealment) scores between the study group (P >0.05). There were significant differences in E and N scores between the study group after operation and the control group (P <0.05), and there was no significant difference in P and L scores between the two groups (P >0.05). Conclusion The personality characteristics of patients with maxillofacial deformities compared with normal controls were mostly anxiety, depression, and unfriendly personality. After the surgery, the patient's personality characteristics were significantly improved. It is suggested that doctors in orthodontists should pay attention to the change of psychological characteristics before and after the operation of the patient and do psychological assessment.
作者
赵越
康娜
阮氏秋水
ZHAO Yue;KANG Na;RUAN Qiu-shui(Department of Orthodontics,Oral Hospital Affiliated to Guangxi Medical University,Nanning 530021,Guangxi,China)
出处
《中国美容医学》
CAS
2019年第2期144-146,共3页
Chinese Journal of Aesthetic Medicine
关键词
颌面部畸形
正颌外科
艾森克人格问卷
心理特征
maxillofacial deformity
orthognathic surgery
eysenck personality questionnaire(EPQ)
psychological characteristics
