早期心理干预对唇腭裂患儿父母的影响

目的 对唇腭裂患儿父母的心身健康状况进行评估并进行早期心理干预，探讨早期心理干预对唇腭裂患儿父母的影响。方法 采用症状自评量表（SCL-90）对102名唇腭裂患儿的父亲或母亲在入院当天进行调查，在住院期间及出院后3个月内定期地进行心理干预，并于出院当天及3个月后再进行问卷调查。以126名正常儿童的父亲或母亲作为对照组。结果 病例组患儿父母在躯体化、强迫症状、抑郁、焦虑等9个维度上分值均显著高于对照组（P＜0.05）；病例组3个亚组（唇裂组、腭裂组、唇腭裂组）间差异无统计学意义（P＞0.05）；病例组出院当天与入院时的统计结果差异无统计学意义（P＞0.05），出院后3个月与入院时的统计结果有显著差异（P＜0.05）。结论 唇腭裂患儿父母的心身健康状况较差，早期心理干预对唇腭裂患儿家长具有重大影响，而且对患儿的心身健康也具有积极的意义。

Effects of an early psychological intervention on parents of children with cleft lip/palate

Objective To provide basis for effects of an early psychological intervention on parents of children with cleft lip/palate, and investigate the effects of an early psychological intervention to them. Methods One selfadministered questionnaire（SCL-90） was applied in 102 parents of children with cleft lip/palate, compared to 126 parents of healthy individuals on the day of admission. They were given the psychological intervention during hospitalization and 3 months after discharge. The questionnaire（SCL-90） was again applied to them on the day of discharge and 3 months after discharge. Results Using the questionnaire（SCL-90）, the answer scores of somatization, obsessivecompulsive, depression and anxiety etc. were significantly higher than those of the control group（P<0.05）. There were no statistical differences during 3 subgroups in the case group（P＞0.05）. There were no statistical differences on the day of admission and on the day of discharge（P＞0.05）, but there were statistical difference on the day of admission and 3 months after discharge（P<0.05）. Conclusion In this study, the psychosomatic states of parents of children with cleft lip/palate is poor. It’s important and greatly significant that we conduct early psychological intervention to parents of children with cleft lip/palate and to the children’s psychosomatic health.