Ghanipour Fateme-Sadat, Heidari Tahereh, Babaei-Darzi Alireza, Mohammadpour Reza Ali, Toyeh Azar Ramezani, Ivaki Maedeh Moradpour, Lolaty Hamideh Azimi
MSc in Psychiatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
PhD Candidate in Nursing, Golestan University of Medical Sciences, Gorgan, Iran.
Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):553-560. doi: 10.4103/ijnmr.ijnmr_36_24. eCollection 2025 Jul-Aug.
Some studies among orthognathic surgery candidates revealed that the patients doing orthognathic surgery suffer from Body Image Concern (BIC) and impaired Self-Esteem (SE) before and after surgery. Despite the merits behind orthognathic surgery, self-care training in such patients seems logical. The present study was performed to outline the effect of Mindful Self-Care Training on Body Image Concern and Self-Esteem of Patients before and after Orthognathic Surgery.
This semiexperimental study with a pretest-posttest design was conducted in Babol-based Shahid Beheshti Hospital in 2020. The eligible patients, who were referred from the Orthognathic Surgery Clinic of Babol-located Shahid Beheshti Hospital, were conveniently divided into two 25-person groups. The BIC and SE were measured using the Body Image Concern Inventory (BICI) and Coopersmith Self-Esteem Inventory (CSEI) before and after holding eight 90-minute mindful self-care training sessions (before surgery) and 3 months after surgery (follow-up in the two groups. The data were analyzed at the significance level of 0.05 using the independent t-test and Repeated Measure Analysis of Variance (RM -ANOVA) by SPSS-26.
The findings revealed that in the intervention group, the mean score of the overall BIC after training (before surgery) and follow-up (3 months after surgery) decreased. The independent -test showed that the mean score of the overall BIC after training and follow-up was significantly different between the two groups (t = 1.68, = 0.02) and (t = 3.64, = 0.001), respectively. Also, the mean score of the SE increased after training and follow-up in the intervention group. The independent -test indicated that the mean score of the SE after training and follow-up meaningfully differed between the two groups (t = 3.93, < 0.001, t = 5.40, < 0.001). The RM-ANOVA results displayed significant differences in the overall BIC and SE in the two groups over time (F = 71.30, < 0.001) and (F = 38.17, < 0.001), respectively.
Considering the effects of mindful self-care training on the BIC and SE of the patients undergoing orthognathic surgery, it is proposed that presurgery mindful self-care training is useful and prevents common pre and postsurgery psychological problems among the patients as the orthognathic surgery candidates.
一些针对正颌手术候选者的研究表明，接受正颌手术的患者在手术前后都存在身体形象困扰（BIC）和自尊受损（SE）的问题。尽管正颌手术有诸多益处，但对这类患者进行自我护理训练似乎是合理的。本研究旨在概述正念自我护理训练对正颌手术患者手术前后身体形象困扰和自尊的影响。
本半实验性研究采用前测-后测设计，于2020年在位于巴博勒的沙希德·贝赫什提医院进行。从巴博勒沙希德·贝赫什提医院正颌外科诊所转诊来的符合条件的患者被方便地分为两个每组25人的小组。在进行八次90分钟的正念自我护理训练课程之前（手术前）和手术后3个月（两组随访），使用身体形象困扰量表（BICI）和库珀史密斯自尊量表（CSEI）测量BIC和SE。使用SPSS - 26在0.05的显著性水平下通过独立t检验和重复测量方差分析（RM - ANOVA）对数据进行分析。
研究结果显示，在干预组中，训练后（手术前）和随访（手术后3个月）的总体BIC平均得分降低。独立t检验表明，训练后和随访后两组的总体BIC平均得分分别有显著差异（t = 1.68，p = 0.02）和（t = 3.64，p = 0.001）。此外，干预组训练后和随访后的SE平均得分增加。独立t检验表明，训练后和随访后两组的SE平均得分有显著差异（t = 3.93，p < 0.001，t = 5.40，p < 0.001）。RM - ANOVA结果显示，两组随时间推移在总体BIC和SE方面存在显著差异（F = 71.30，p < 0.001）和（F = 38.17，p < 0.001）。
考虑到正念自我护理训练对正颌手术患者的BIC和SE的影响，建议术前正念自我护理训练是有用的，并且可以预防正颌手术候选患者术前和术后常见的心理问题。
