摘要目的 探讨心理干预对美容整形术者心理状态和满意度的影响.方法 选取济南军区总医院整形美容科行美容整形术者600人,按就诊单双号随机分为对照组和研究组.对照组实施一般性术前、术中、术后常规治疗和护理,研究组除给予一般的治疗和护理外,术前进行会谈咨询,了解美容者的心理特点,给予动机和期望值调整；术中使用音乐和心理支持；术后给予康复行为指导等心理干预.两组手术前后使用症状自评量表( SCL-90)、一般体像心理问题自评量表及术后满意尺,对心理干预在美容整形手术中的作用进行评定.结果 干预前研究组的SCL-90和一般体像心理状态评分别为(187.5±52.61)分,(12.1±2.2)分,与对照组[( 179.87±53.33)分,(12.9±2.0)分]比较差异无统计学意义(P＞0.05).干预后研究组的SCL-90和一般体像心理问题评分为(159.6±31.3)分,(5.6±0.5)分,好于对照组[(167.4±38.2)分,(6.2±1.1)分],差异有统计学意义(P＜0.01).研究组治疗前后50％减分率26％,25％减分率41.6％,体像心理阴性率97.1％,对手术总满意率为89％,均高于对照组的14％,27.6％,84.3％和53.67％,均差异具有统计学意义(P＜0.01).结论 心理干预对改善美容整形者的心理状态、体像心理和美容整形手术的满意度有重要作用.治疗中重视美容整形术者的心理干预,有助手提高美容整形手术的疗效.

abstractsObjective To investigate the role of psychological intervention on cosmetic plastic surgery.Methods 600 cosmetic plastic surgery were collected from cosmetic plastic surgery of Jinan Military General Hospital,then randomly divided into control group(n=300) and study group (n=300) according to odd and even on the first visit.Conventional treatmentand care were applied to control group before,during and after operation.For study group,in addition to giving a general treatment and care,preoperative consultation talks were given to understand the beauty of the psychological characteristics,and motivations and expectations were given to adjust;music and psychological support were presented intraoperative; rehabilitation guidance were given after operation.Symptom checklist 90( SCL-90),general psychological problems of body image self-rating scale and postoperative satisfaction scale were used to assess the the mental state,body image question and satisfaction of plastic surgery.Results Before intervention,the scores of SCL-90 and the general body image self-rating scale were ( 187.5 ±52.61 ),(12.1 ± 2.2) in study group and (179.87 ± 53.33 ),(12.9 ± 2.0) in control group,there was no significant differences(P＞0.05).After intervention,the scores of SCL-90 and the general body image self-rating scale ( 159.6 ± 31.3 ),(5.6 ± 0.5 ) in study group were lower than those in control group ( 167.4 ± 38.2 ),( 6.2 ±1.1 )(P ＜ 0.01 ).Before and after treatment,50％ reduced rate of 26％,25％ reduced rate of 41.6％,body-negative rate of 97.1％,overall satisfaction rate of 89％ of surgery in study group were higher than 14％,27.6％,84.3％ and 53.67％ in the control group,the differences were significant (P＜0.01 ).Conclusion Psychological interventions can improve the psychological state,body image disturbance and operative satisfaction in cosmetic plastic surgery.Psychological interventions should pay more attention to irrmprove the efficacy of cosmetic plastic surgery.