认知行为疗法和团体游戏联合放松训练在青少年唇腭裂患者心理干预中的应用

袁冯; 李光早; 刘姗姗; 张瑞锐; 曹明明; 徐志慧

doi:10.16766/j.cnki.issn.1674-4152.001785

认知行为疗法和团体游戏联合放松训练在青少年唇腭裂患者心理干预中的应用

doi: 10.16766/j.cnki.issn.1674-4152.001785

1.
蚌埠医学院第一附属医院口腔科，安徽蚌埠 233004
2.
蚌埠医学院第一附属医院整形科，安徽蚌埠 233004

基金项目:

安徽省科技攻关项目 1704a0802162

蚌埠医学院科技发展基金 BYKF1841

详细信息

通讯作者:
刘姗姗，E-mail：liushanshancan@163.com

中图分类号: R726.2 R395.6
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- 文章访问数: 216
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- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2020-07-16
- 网络出版日期: 2022-02-19

Application of cognitive behavioural therapy and group games combined with relaxation training in psychological intervention for adolescent cleft lip and palate patients

1.
Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的探讨认知行为疗法、团体游戏联合放松训练在青少年唇腭裂患者心理干预中的应用效果。方法选取2019年3月—2020年3月期间蚌埠医学院第一附属医院治疗的29例青少年唇腭裂患者作为研究对象，采用随机数字表法分为对照组和观察组，分别实施常规心理疏导及认知行为疗法、团体游戏联合放松训练的心理干预方法，比较2组患者干预前后心理状态、自我接纳水平和应对方式。结果实施干预后，观察组SCL-90评分为(192.88±24.03)分，明显低于干预前[(233.29±43.88)分]，差异有统计学意义(P < 0.05)，且观察组SCL-90评分低于对照组[(214.00±30.88)分，t=-2.072，P=0.048]；在接纳自我方面，观察组总分及各因子分均高于对照组，其中观察组总分为(47.18±4.64)分，对照组为(36.08±3.18)分，2组比较差异有统计学意义(t=7.164，P < 0.001)；在应对方式方面，观察组积极因子分[(13.52±1.19)分]高于对照组[(10.86±1.19)分, t=5.901，P < 0.001]，消极因子分[(3.36±0.84)分]低于对照组[(5.62±0.96)分，t=-6.702，P < 0.001]。结论认知行为疗法、团体游戏联合放松训练可以改善青少年唇腭裂患者心理状态；可以帮助患者以积极的方式应对困难，促进自我接纳。
- 认知行为疗法 /
- 团体游戏 /
- 放松训练 /
- 青少年唇腭裂
Abstract: Objective To explore the effect of cognitive behavioural therapy and group games combined with relaxation training in psychological intervention for adolescents with cleft lip and palate. Methods Twenty-nine adolescent cleft lip and palate patients treated in our department from March 2019 to March 2020 were selected as the research objects. The patients were divided into control and observation groups through the random-number table method. Conventional psychological counseling, cognitive behavioural therapy, and group games combined with relaxation training were conducted. The psychological state, self-acceptance level, and coping style of the patients in both groups were compared before and after intervention. Results After intervention, the SCORE of SCL-90 in the observation group (192.88±24.03) was significantly lower than that before intervention (233.29±43.88), and the difference was statistically significant (P < 0.05). The score of SCL-90 was lower than that of the control group (214.00±30.88, t=-2.072, P=0.048). In terms of self-acceptance, the total score and factor scores of the observation group were higher than those of the control group, and the total score (47.18±4.64) of the observation group was significantly higher than that of the control group (36.08±3.18, t=7.164, P < 0.001). In terms of coping style, the positive factor score (13.52±1.19) in the observation group was higher than that in the control group (10.86±1.19, t=5.901, P < 0.001), and the negative factor score (3.36±0.84) was lower than that in the control group (5.62±0.96, t=-6.702, P < 0.001). Conclusion Cognitive behaviour therapy and group games combined with relaxation training can improve the psychological state of adolescents with cleft lip and palate. It can help patients cope with difficulties in a positive way and promote self-acceptance, so it can be extensively used in clinical work.
- Cognitive behavioural therapy /
- Group games /
- Relaxation training /
- Adolescent cleft lip and palate

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表 1 2组唇腭裂患者一般资料及唇腭裂种类比较(例)

组别	例数	年龄(x±s，岁)	性别		学历			唇腭裂种类
组别	例数	年龄(x±s，岁)	男性	女性	小学	初中	高中	唇裂	腭裂	唇腭裂
观察组	17	13.29±2.41	10	7	7	7	3	3	4	10
对照组	12	13.33±2.49	7	5	6	4	2	2	3	7
t值		0.042
P值		0.966	0.999^a		0.885^a			0.999^a
注：^a为采用Fisher精确检验。

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表 2 2组唇腭裂患者干预前后SCL-90评分比较(x ±s，分)

组别	例数	干预前	干预后	t值	P值
观察组	17	233.29±43.88	192.88±24.03	5.900	< 0.001
对照组	12	224.92±32.67	214.00±30.88	3.653	0.004
t值		0.560	-2.072
P值		0.580	0.048

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表 3 2组唇腭裂患者干预前后接纳自我评分比较(x ±s，分)

组别	例数	总分		自我接纳因子		自我评价因子
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	17	34.47±3.78	47.18±4.64^a	17.76±1.92	23.76±2.22^a	16.71±2.78	23.41±3.20^a
对照组	12	34.00±2.34	36.08±3.18^a	17.58±1.62	18.00±2.17	16.42±1.62	18.08±1.83^a
t值		0.382	7.164	0.266	6.940	0.323	5.179
P值		0.705	< 0.001	0.792	< 0.001	0.749	< 0.001
注：组内干预前后比较，^aP < 0.05。

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表 4 2组唇腭裂患者干预前后CODI评分比较(x ±s，分)

组别	例数	积极因子		t值	P值	消极因子		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
观察组	17	10.41±2.45	13.52±1.19	-6.447	< 0.001	6.42±0.76	3.36±0.84	-10.510	< 0.001
对照组	12	10.41±1.44	10.86±1.19	-1.993	0.072	6.38±0.76	5.62±0.96	2.831	0.016
t值		0.005	5.901			0.169	-6.702
P值		0.996	< 0.001			0.867	< 0.001

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