摘要
目的 观察口腔颌面部畸形患者术前术后自我效能感及体像变化的情况.方法 采用一般自我效能感量表（GSES）中文版及体像障碍自评量表（SSBI）,对183名口腔颌面部畸形患者及200例对照组进行测量,应用间隔尺度的态度测量方法对受术者术后满意度进行评分,对术前、术后GSES与SSBI评分、术后满意度进行统计学分析.结果 术前患者组GSES评分[（26.79±5.26）分]低于对照组[（29.69±5.37）分],差异有统计学意义（P＜0.05）,而SSBI评分[（24.35 ±8.59）分]高于对照组[（11.04±6.67）分],差异有统计学意义（P＜0.05）.术后GSES评分[（29.52±3.80）分]显著高于术前GSES（P＜ 0.05）.术后SSBI评分[（18.88±8.19）分]显著低于术前（P＜0.05）.术前GSES≥32分且SSBI≥36分的患者术后满意度较低.结论 手术可增强口腔颌面部畸形患者的自我效能；也可减低患者体像障碍倾向者的发生率.
Objective To observe the self-efficacy and body image changes of the patients with oral and maxillofacial deformity in pre-and post-operative.Methods 183 patients with oral and maxillofacial deformity and 200 relatives as control group were measured by applying General Self-Efficacy Scale （GSES） of Chinese version and Self-rating Scale of Body Image（SSBI）.Postoperative satisfaction degree was scored by applying attitude measurement method of interval scale.Perioperative GSES,SSBI score,and postoperative satisfaction degree were statistically analyzed.Results GSES score （26.79 ± 5.26） was lower than that in control group in preoperative （29.69 ± 5.37）,and the difference was statistically significant （P 〈 0.05）.While SSBI score （24.35 ± 8.59） was higher than that in control group（11.04 ± 6.67）,and the difference was also statistically significant （P 〈 0.05）.GSES score in postoperative（29.52 ± 3.80） was significantly higher than that in preoperative （P 〈 0.05）.SSBI score in postoperative（18.88 ± 8.19） was significantly higher than that in preoperative （P 〈 0.05）.Postoperative satisfaction was comparatively lower for the patients whose GSES score was higher than 32 and 36 for SSBI in preoperative.Conclusion Oporation can enhance the self-efficacy of patients with oral and maxillofacial deformity and reduce the incidence of patients with body dysmorphic disorder tendency.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2013年第6期523-525,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
基金项目：山东省科学技术发展计划资助项目（2006GG2302012,2009GG10002050）
关键词
口腔颌面部先后天畸形
自我效能感
体像障碍
Deformities of the maxillofacia1 region
General self-efficacy
Body dysmorphic disorder
