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目的 :评估正颌外科术后患者的心理动态变化。方法 :10 8位正颌外科患者 ,分别于术前及术后四阶段进行SCL -90 (症状自评量表 )测查 ,对术前及术后各阶段心理健康水平进行比较。术后半年及术后一年进行问卷调查 ,评估主观心理变化。结果 :术后即刻阶段 ,患者在F4(抑郁 )、F5 (焦虑 )及F6(敌对 )症状因子分有加重趋势。术后三个月症状因子分下降 ,接近于术前水平。术后半年及一年 ,症状因子分均较术前明显下降。患者主观自评术后自信心提高 ,幸福感增强。结论 :正颌外科术后患者心理状况有了积极的改善 ,并随时间呈动态上升趋势。
Objective: To assess the psychological changes of patients after orthognathic surgery. Methods: Ten patients with orthognathic surgery were enrolled. SCL-90 (Self-rating Symptom Inventory) was performed before and after surgery to compare the mental health status of preoperative and postoperative stages. Six months after operation and one year after surgery, questionnaires were conducted to evaluate subjective and psychological changes. Results: At the immediate postoperative stage, the symptoms of F4 (depression), F5 (anxiety) and F6 (hostility) were aggravating. Three months after the symptom factor decreased, close to the preoperative level. Half a year and one year after surgery, symptom scores were significantly lower than before surgery. Patients subjective self-confidence after surgery increased self-confidence, increased happiness. Conclusion: The patients with orthognathic surgery have a positive psychological status and show a dynamic upward trend over time.