认知行为疗法对煤工尘肺患者心理障碍的临床疗效观察

Clinical effect of CBT on psychological disorders in coal workers pneumoconiosis

目的探讨认知行为疗法(CBT)对煤工尘肺患者心理障碍的临床疗效。方法将2010年9月至2016年10月调查的重庆天府矿业公司存在心理障碍的213例煤工尘肺患者随机分为CBT治疗组、一般治疗组和对照组,采用症状自评量表(SCL-90)对CBT治疗前后的患者进行评定和比较分析,观察临床疗效。结果 CBT治疗组煤工尘肺心理障碍患者治疗后SCL-90总均分及各因子得分显著低于一般治疗组和对照组,差异均有统计学意义(P<0.05)。结论 CBT治疗对煤工尘肺患者存在的心理障碍有较好疗效。

Objective The purpose of this study is to explore the clinical effect of CBT on psychological disorders in coal workers pneumoconiosis. Methods Total of 213 coal workers pneumoconiosis with psychological disorder in Chongqing Tianfu mining company,which was investigated in 2010. The patients were randomly divided into CBT group,general treatment group and control group. The symptom checklist 90（SCL-90） was used to evaluate and compare before and after CBT treatment. Then observe the clinical effect. Results The total mean score and score of SCL-90 in CBT group were significantly lower than those in the general treatment group and control group（P〈0.05）. Conclusion CBT has a good effect on the psychological disorders of coal workers pneumoconiosis.