程蕾 傅巧美 陈婧婧 王丽

[摘要]目的：分析心理社会管理应用于眼睑整形美容患者对其转归、自制力和健康状况的影响。方法：2017年9月至2019年8月笔者医院收治了82例眼睑整形美容患者，以随机数字表法开展分组，分别命名为研究组和对照组，每组各41例。其中，对照组实施传统性护理，研究组实施心理社会管理。对患者开展为期3个月的随访性追踪，比较两组患者的美容满意度、阳性和阴性症状量表（Positive and negative symptom scale，PANSS）評分、自制力水平及健康水平。结果：研究组美容满意度、干预后自制力及健康水平评分优于对照组，研究组干预后PANSS评分低于对照组，差异均有统计学意义（P<0.05）。结论：心理社会管理应用于眼睑整形美容患者，能促进整形结果向着良性方向进展，且能提高个体的自制力与身心健康状况。

[关键词]心理社会管理;眼睑整形;美容手术;满意度;自制力;健康状况

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2020）09-0178-04

The Effect of Psychosocial Management on Postoperative Outcome and Health Status of Patients with Blepharoplasty

CHENG Lei，FU Qiao-mei，CHEN Jing-jing，WANG Li

（Department of Plastic Surgery and Burn Injury，Gulou Hospital，the Affiliated Hospital of Nanjing University Medical School，Nanjing 210000，Jiangsu，China）

Abstract： Objective  To analyze the effect of psychosocial management on the outcome， self-control and health status of eyelid plastic and cosmetic individuals. Methods  From September 2017 to August 2019， 82 patients with blepharoplasty and Cosmetology were treated in our hospital. They were divided into the study group and the control group， 41 cases in each group. Among them， the control group was carried out traditional nursing， and the research group was carried out psychosocial management. The patients were followed up for 3 months， and the results of Cosmetology， PANSS， self-control and health of the two groups were compared.  Results  The cosmetic satisfaction， self-control and health level scores of the study group were better than those of the control group， and the PANSS score of the study group was lower than that of the control group after the intervention， the differences were statistically significant （P<0.05）.  Conclusion  The application of psychosocial management in eyelid plastic surgery，not only can improve the cosmetic effect， but also improve the individual's self-management ability and improve the physical and mental health.

Key words： psychosocial management; blepharoplasty; cosmetic surgery; satisfaction; self-control; health status

眼睑整形美容是一类面部微调手术，该项手术方式对人体颜面部的调整起着至关重要的作用[1]。但是，部分个体因担心手术成效以及眼睑部恢复情况而呈现出内心的焦虑与惶恐，间接影响个体的精神-心理-内分泌系统，导致人体合成及分泌出一定量去甲肾上腺素，这对美容转归可产生一定的不良挑战[2]。由于术后对患者的遵医行为要求相对较高，需要绝对禁止面部动作，而使手术创面获得相对完整的愈合与修复[3]。但是，患者对美容手术的遵医行为主要取决于其自制力水平;若自制力水平越高，则其越能意识到自我管理行为对美容转归所产生的正导向作用[4]。通过全方位应用心理社会管理模式，从心理学、社会学基本理念、实践流程与策略技巧出发，逐步完善个体的心理社会环境[5]。……