个性化访谈结合同伴支持对唇腭裂二期手术患者抑郁的心理干预效果研究

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1、授予单位代码10089学号或申请号13823HebeiMedicalUniversity硕士学位论文在职科学学位个性化访谈结合同伴支持对唇腭裂二期手术患者抑郁的心理干预效果研究学位申请人：马志伟导师：赵书娥主任护师专业：护理学二级学院：第三医院2015年3月学位论文使用授权及知识产权归属承诺本学位论文在导师的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名单位为河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医

2、科大学所有。否则，承担相应法律责任。研究生签名：7么丄导师签章:$^^^级学院领导盖章:忍外——.ijr年5月河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章：^年>月”曰目录中文摘要·············································································1英文摘要········

3、·····································································4英文缩写·············································································7研究论文个性化访谈结合同伴支持对唇腭裂二期手术患者抑郁的心理干预效果研究前言·········································································8材料与方法···········

4、·························································9结果·············································································18附图·············································································20附表··························································

5、···················21讨论·············································································22结论·············································································23参考文献·······································································24综述唇腭裂手术患者给予心理干预的研究进展

6、……………………...26致谢···················································································31个人简历·············································································33中文摘要个体化访谈结合同伴支持对唇腭裂二期手术患者抑郁的心理干预效果研究摘要目的：唇腭裂不仅造成患者身体缺陷，也严重影响患者的心理健康。患者常常由于外貌及发音与正常人不同，出现抑郁、自卑、焦虑、

7、人际关系紧张等心理问题，严重影响患者的生活质量。如何在治疗患者形体缺陷的同时，改善患者的心理健康状况，是临床护理工作者面临的问题。本研究通过个体化访谈和同伴支持方式，对筛选出的30例存在抑郁心理问题唇腭裂二期手术患者进行心理干预，以期改善患者的心理健康状况。方法：1资料选取2013年12月-2014年12月在我科住院的104例行唇腭裂二期手术整形的唇畸形、鼻畸形、牙槽突裂患者，有语言交流能力及思维能力，同意接受量表测试，排除患有精神病或严重心理障碍的患者进行心理调查，筛选出存在抑郁心理问题的患者56例。与患者交流后再次筛选出自愿接受心理干预的30例患者，

8、其中轻度抑郁13例，中度抑郁10例，重度抑郁7例，进行心理干预的实施；其中唇畸形