| Objectives:Cleft lip and palate not only causes patient’s physical defect, but also seriously affect patient’s mental health. Due to the appearance and pronunciation is different from normal people, patients often have psychological problems such as depression, low self-esteem, anxiety, interpersonal tension etc. This problems serious impact on the patient’s quality of life. How to improve the patient’s mental health status simultaneously when the body defect is treated is a clinical problem. Through individual interviews and peer support method, this study selected 30 cases of patients with depression psychological problems for psychological intervention, in order to improve the mental health status of patients.Methods:1 DatasThe patients with Lip nasal deformities or alveolar cleft were selected from the patients of plastic surgery, first Hospital of Shijiazhuang. The patients with communication and thinking ability were accept psychological intervention, including mild(13 persons), moderate(10 persons) and severe depression(7 persons) with Lip deformity, nasal deformities and alveolar cleft, aged 16-35.2 Investigation toolIn current study, self-rating depressive scale(SDS) made by W.K.Zung was used, and Interviews including individuality and team models.3 Interview modelIndividual interview, group interview and peer support methods were used to the psychological intervention and cognitive behavior treatment.4 Intervention timeThe individuality interviews were performed in three times, including the second day of hospitalization, the day before the operation and the day before leave hospital, 20-30 minutes one time.The team interviews performed at the third or fourth day after operation, 5-7 cheilopalatognathus patients communication and play game together, 30 minutes one time. SDS scores of the patients before and after leave hospital were used in statistical analysis.Results:Statistics analysisStatistical analysis was performed using SPSS 17.0(SPSS, Inc.). The t-test was used to compare the treatment and control samples, A P value<0.05 was considered to be statistically significant. The important findings in our study including the following points:1 Significant differences of the SDS scores were observed of the patients after leave hospital, when compared to hospitalization(P<0.01).2 Between 13 mild depression patients, 8 persons were well-healed, and one person was eased slightly.3 Between 13 moderate depression patients, 4 patients transformed to mild depression, 2 persons were eased slightly.4 Between 7 severe depression patients, only one person transfer to moderate depression, indicating that severe depression need a long time to heal.Conclusions:1 Cleft lip and palate patients live in a complex environment, who’s mental health are many factors that affected by many factors. Through the one-to-one communication, to get to know the cultural level of the patients, psychological problems, the living environment, social support and so on. Only in this way, we can realize the treatment of individualized psychological intervention.2 Patients who have the same behavior were gathered together to accept psychological intervention. Taking advantage of that the patients have similar experiences, we make them get together and let them help each other. To communicate with each other, patients not only share knowledge of life, but also can get more encouragement and support which come from friends. By taking part in group activities, patients with mild to moderate have significantly less symptoms of depression and low self-esteem, improve the mental health. Because patients with severe depression do not improve obviously, so we suggest patients after discharge to continue to keep in touch with his companions for emotional support, or accept professional psychological counseling.3 The way obviously improves the psychological status of patients with cleft lip and palate, promote the treatment of cleft lip and palate that Individualized treatment and help each other. |
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