中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2008年
3期
187-189
,共3页
刘晨%栾杰%丛中%穆兰%范飞%穆大力%张卓奇%王克明%辛敏强%刘武韬%苏韦祯
劉晨%欒傑%叢中%穆蘭%範飛%穆大力%張卓奇%王剋明%辛敏彊%劉武韜%囌韋禎
류신%란걸%총중%목란%범비%목대력%장탁기%왕극명%신민강%류무도%소위정
乳房再造术%心理学%量表测试
乳房再造術%心理學%量錶測試
유방재조술%심이학%량표측시
Breast reconstruction%Psychology%Scale and questionnaire
目的 探讨寻求乳房再造手术的乳房缺失者的心理状态,分析再造手术后其心理的变化.方法 分别采用焦虑自评量表、抑郁自评量表、自尊量表、体像障碍自评量表及艾森克人格问卷,对50例乳房缺失者手术前后的心理状态进行评估,统计手术前异常心理的比例,分析患者的人格特征,比较手术前后患者的心理改变.结果 乳房缺失者术前焦虑状态、抑郁状态、体像障碍的比例分别为64 %、30 %、18 %,其人格特征为外向人格,好交际,情绪易于激动.手术前自尊量表分值为27.46±8.95,术后上升为33.05±6.12 (P＜0.05) ;体像障碍量表手术前分值为25.74±13.23,术后下降为18.22±8.08 (P＜0.05).结论 寻求乳房再造手术者的焦虑、抑郁及体像障碍的比例较高,再造手术可以明显改善患者的体像,提高自尊状态,有利于患者回归社会.
目的 探討尋求乳房再造手術的乳房缺失者的心理狀態,分析再造手術後其心理的變化.方法 分彆採用焦慮自評量錶、抑鬱自評量錶、自尊量錶、體像障礙自評量錶及艾森剋人格問捲,對50例乳房缺失者手術前後的心理狀態進行評估,統計手術前異常心理的比例,分析患者的人格特徵,比較手術前後患者的心理改變.結果 乳房缺失者術前焦慮狀態、抑鬱狀態、體像障礙的比例分彆為64 %、30 %、18 %,其人格特徵為外嚮人格,好交際,情緒易于激動.手術前自尊量錶分值為27.46±8.95,術後上升為33.05±6.12 (P＜0.05) ;體像障礙量錶手術前分值為25.74±13.23,術後下降為18.22±8.08 (P＜0.05).結論 尋求乳房再造手術者的焦慮、抑鬱及體像障礙的比例較高,再造手術可以明顯改善患者的體像,提高自尊狀態,有利于患者迴歸社會.
목적 탐토심구유방재조수술적유방결실자적심리상태,분석재조수술후기심리적변화.방법 분별채용초필자평량표、억욱자평량표、자존량표、체상장애자평량표급애삼극인격문권,대50례유방결실자수술전후적심리상태진행평고,통계수술전이상심리적비례,분석환자적인격특정,비교수술전후환자적심리개변.결과 유방결실자술전초필상태、억욱상태、체상장애적비례분별위64 %、30 %、18 %,기인격특정위외향인격,호교제,정서역우격동.수술전자존량표분치위27.46±8.95,술후상승위33.05±6.12 (P＜0.05) ;체상장애량표수술전분치위25.74±13.23,술후하강위18.22±8.08 (P＜0.05).결론 심구유방재조수술자적초필、억욱급체상장애적비례교고,재조수술가이명현개선환자적체상,제고자존상태,유리우환자회귀사회.
Objective To identify the prevalence and profile of psychological difficulties in a sample of women seeking the breast reconstruction, and to study the effect of the reconstructive surgery on their psychology. Methods Before and after the breast reconstruction, 50 breast-loss women were tested with the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the self-esteem scale (SES),the self- rating body dysmorphic disorder scale (SBDDS), and the Eysenck personality questionnaire (EPQ), respectively. The proportion of the abnormally psychological patients was counted, their personality characters were analyzed, and the postoperative psychological changes were obverved. Results It was found that the 64 percent of the breast-loss patients were in anxiety, 30 percent were in depression, and 18 percent were in body dysmorphic disorder. The characteristics of their personality were more extravert, sociable and easily emotional agitation. The scores in SES of the preoperative patients were 27.46±8.95, and those of the postoperative patients were 33.05±6.12 (P＜0.05). The scores in SBDDS of the preoperative patients were 25.74±13.23, and those of the postoperative patients were 18.22±8.08 (P＜0.05).Conclusion The proportion of the anxiety, depression and BDD is high in the breast-loss women, and the postoperative psychology of esteem and body dysmorphic disorder is improved effectively.
