Turner S R, Rumsey N, Sandy J R
Division of Child Dental Health, Bristol University Dental School, UK.
Eur J Orthod. 1998 Aug;20(4):407-15. doi: 10.1093/ejo/20.4.407.
In addition to the influences of family dynamics, educational and vocational factors on the social development and rehabilitation of CLP patients, psychological problems, such as lowered self-esteem and difficulties during social interaction, are also experienced by CLP individuals. As only 20 per cent of cleft teams world-wide carry out a psychological assessment for their patients, it is likely that the prevalence of psychological problems is higher than the literature suggests. To maximize the chances of a positive outcome in the care of cleft affected individuals, CLP patients who are concerned about their appearance or who experience psychosocial problems need to be identified by cleft teams. Interventions, such as counselling or social interaction skills training, should be offered in order that the patient's self-esteem and social self-confidence can be increased. Current research surrounding patient and parent satisfaction with cleft care suffers from several areas of methodological weakness.
除了家庭动态、教育和职业因素对唇腭裂患者社会发展和康复的影响外，唇腭裂患者还会出现心理问题，如自尊心降低和社交互动困难。由于全球只有20%的腭裂治疗团队为患者进行心理评估，心理问题的患病率可能高于文献所显示的水平。为了最大限度地提高唇腭裂患者护理取得积极结果的机会，腭裂治疗团队需要识别那些担心自己容貌或有心理社会问题的唇腭裂患者。应提供咨询或社交互动技能培训等干预措施，以提高患者的自尊和社交自信。目前关于患者和家长对腭裂护理满意度的研究存在几个方法学上的弱点。
