Li Qian, Lu Pengwei, Fan Yanzhu, Wang Lei, Yao Fei, Su Diya
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, 6 Tiantan Xili, Beijing, 100050 China.
China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing, 100050 China.
Chin Neurosurg J. 2018 Dec 18;4:37. doi: 10.1186/s41016-018-0145-4. eCollection 2018.
Facial nerve paralysis in patients occurs in varying degrees of self-image disorders, both physically and mentally, resulting in low self-esteem, anxiety, depression, and even suicide; however, there were few researches on psychological problems in facial palsy patients at home and abroad. This study's objective was to investigate post-traumatic growth (PTG) in facial nerve palsy patients and analyze its influencing factors.
Using the convenience sampling method, a total of 47 patients with facial nerve paralysis were enrolled in the current study between June 1, 2016, and May 31, 2017. Post-traumatic growth rating scale was utilized to investigate the post-traumatic growth of these patients, and factors influencing patients' post-traumatic growth were analyzed through collecting the general sociological information, disease-related information, simple coping style questionnaire, and social support rating scale.
The total score of post-traumatic growth in patients with facial nerve paralysis was mean (M) = 63.1, standard deviation (SD) = 19.14. The ranking of five dimensional scores from high to low was as follows: new possibilities, personal strength enhancement, appreciation of life, mental changes, and improvement of relationships with others. Multiple linear regression analysis showed that six variables, namely, the personality type, duration with facial nerve paralysis, and four coping styles, consisting of three types of positive coping styles and one negative coping style, could explain 71.6% of the total post-traumatic growth score.
Post-traumatic growth in facial nerve palsy patients is moderate. The personality type of patients, the disease duration, and the coping style are the primary influencing factors. Therefore, clinical staffs should perform personalized nursing protocol and psychological intervention for facial nerve palsy patients to reduce their negative mood, improve their compliance with treatment, and help them recover more rapidly.
面瘫患者会出现不同程度的自我形象紊乱，在生理和心理上都会导致自卑、焦虑、抑郁，甚至自杀；然而，国内外对面瘫患者心理问题的研究较少。本研究的目的是调查面神经麻痹患者的创伤后成长（PTG）并分析其影响因素。
采用便利抽样法，于2016年6月1日至2017年5月31日共纳入47例面神经麻痹患者。采用创伤后成长评定量表调查这些患者的创伤后成长情况，并通过收集一般社会学信息、疾病相关信息、简易应对方式问卷和社会支持评定量表来分析影响患者创伤后成长的因素。
面神经麻痹患者创伤后成长总分均值（M）=63.1，标准差（SD）=19.14。五个维度得分从高到低的排序如下：新的可能性、个人力量增强、对生活的欣赏、心理变化、与他人关系的改善。多元线性回归分析显示，六个变量，即人格类型、面神经麻痹持续时间以及四种应对方式，其中包括三种积极应对方式和一种消极应对方式，可解释创伤后成长总分的71.6%。
面神经麻痹患者的创伤后成长处于中等水平。患者的人格类型、病程及应对方式是主要影响因素。因此，临床工作人员应对面神经麻痹患者实施个性化护理方案和心理干预，以减轻其负面情绪，提高其治疗依从性，帮助其更快康复。
