美容整形就诊者心理过程及干预对策.docVIP

美容整形就诊者心理过程及干预对策[摘要]目的：探讨美容整形就诊者的心理过程及干预对策。方法：对950例就诊者不同治疗护理阶段的心理进行评估，并针对就诊时的自卑，手术前的怀疑、恐惧，手术后的焦虑、挑剔和后悔，恢复后得意或失望等心理特征，分别在不同时期给予相应的寻求补偿指导、肯定定势心理引导、针对性解释、领悟和谐美的真正含义等干预措施。结果：就诊者能够正视容貌的客观性存在与美容整形手术的实际功效。结论：关注就诊者不同阶段的心理特征并给予相应的预见性专业指导，可改善其情绪状态，减少不必要的纠纷。 [关键词]修复外科手术；心理过程；心理干预 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2008）06-0915-02 Psychological process and intervention counter-measure of plastic and beauty surgery clients LI Qing-mei,WANG Xi-ping,WU Jin-ning,XIAO Li-zhen，HUANG Xue-hua (Department of Plastic Surgery, Yuebei People’s Hospital,the Medical College of Shantou University, Shaoguan 512026,Guangdong,China) Abstract: Objective To study the mental process and intervention counter-measure for clients of plastic surgery. Methods 950 clients were taken intervention measures of relevant seek compensation guidance, confirm psychological guiding. Counter explain and grasp the real meaning of harmonious in different stages according to their psychological characteristic of inferiority at seek medical advice and preoperative doubt, fear and postoperative anxiety, nitpick and regret, as well as complacent and disappointed after recovery.ResultsThe clients can face up to the objective reality of appearance and the reality effect of plastic surgery. Conclusion It can improve clients’ feelings and decrease their unnecessary issue that pay close attention to their psychological feature in different stage and give them relevant predictive special guide. Key words:plastic surgery;psychological process;psychological intervention 美容整形是医学审美与外科技术相结合，对人体某些生理解剖范围内的美学缺陷加以修复和再造。美容手术效果不是以单纯的症状解除、功能改善为标准，而是与就诊者的心理因素密切相关，因此美容整形手术后令人头痛的并发症来源于心理而非生理[1]。我们通过对950例美容整形就诊者心理过程及相关特征的观察，根据心理需求，将干预对策贯穿在治疗护理的每一阶段，使其能够正视容貌的客观性存在与美容整形手术的实际功效，改善情绪状态，减少不必要的纠纷。 1资料和方法 1.1临床资料：本组从咨询者转变成美容整形受术者950例，年龄18～70岁，眼部手术480例，鼻部手术172例，唇颊部手术13例，乳房手术72例，会阴部手术30例，脂肪抽吸63例，腋臭根治120例。 1.2方法 1.2.1 心理过程评估方法：通过问诊和沟通，观察了解就诊者所诉手术部位的状态、烦恼程度和日常生活状况[2]；手术前最担心和惧怕的问题、手术后一周内最关注的问题；手术后一个月对手术效果的评价。 1.2