认知-行为疗法对有意性急性农药中毒患者的干预效果评价

Effect of Cognitive-behavioral Therapy for Patients with Intentional Acute Pesticide Poisoning

目的评价认知-行为疗法对有意性急性农药中毒患者的干预效果。方法采用类实验性研究,2016年1月至12月在甘肃某三甲综合医院选取了40名有意性急性农药中毒患者作为研究对象,随机分为干预组和对照组各20例。干预组实施认知-行为疗法,对照组实施常规农药中毒健康教育,实施前后应用症状自评量表(symptom check list 90,SCL-90)进行评估。结果干预后两组患者在躯体化、人际关系、焦虑、偏执、其他、强迫症状、抑郁和总分等维度的得分差异均有统计学差异(均P<0.05);与干预前比较,干预组在总分和各分量表维度的得分差异均有统计学差异(均P<0.05),对照组在焦虑、躯体化、人际关系、强迫症状和总分5个维度上差异均有统计学差异(均P<0.05),但偏执、其他和抑郁维度得分差异无统计学意义(均P>0.05)。结论认知-行为疗法可以改变有意性急性农药中毒患者的不良认知,改善其生理不适感,减轻强迫和抑郁症状,提高应对能力,避免二次伤害行为的发生。

Objective To evaluate the effect of cognitive-behavioral therapy for patients with intentional acute pesticide poisoning.Methods The quasi-experimental study was used.Forty patients with intentional acute pesticide poisoning from January to December 2016 were selected and randomly divided into the intervention group and the control group,with 20 cases in each group,respectively.The intervention group received the cognitive-behavioral therapy and the control group received routine pesticide poisoning health education.The symptom checklist 90 was evaluated before and after implementation.Results After intervention,there were significant differences in scores of somatization,interpersonal relationship,anxiety,paranoia,obsessive-compulsive symptoms,depression and total scores between the two groups(all P<0.05).There were significant differences in total scores and subscale dimensions in the intervention group after interventions(all P<0.05).There were statistical differences in anxiety,somatization,interpersonal relationship and total score in the control group after intervention(all P<0.05).However,there was no statistical differences in paranoia,other factors and depression in the control group after intervention(P>0.05).Conclusions Cognitive-behavioral therapy can change the negative cognition of patients with intentional acute pesticide poisoning,improve their physiological discomfort,alleviate obsessive-compulsive and depressive symptoms,improve coping ability,thus avoid the occurrence of secondary injuries.