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目的探讨农民工尘肺患者的心理健康状况,为农民工心理健康治疗提供理论依据。方法采用Derogatis LR编制的症状自评量表SCL-90对120名男性农民工尘肺患者心理健康状况进行调查。结果 120名农民工尘肺患者的躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执因子比全国常模数值高,差异有统计学意义(P<0.01)。其中躯体化、抑郁、焦虑严重,SCL-90因子平均达到4分以上;农民工尘肺患者随着尘肺期别的增高,除偏执、精神病因子无明显变化外,其他项目SCL-90因子分值逐渐提高,差异有统计学意义(P<0.01)。结论农民工尘肺患者存有严重的心理健康问题,心理健康辅导治疗也应作为尘肺综合治疗的主要内容。
Objective To investigate the mental health status of migrant workers with pneumoconiosis and provide theoretical basis for the treatment of migrant workers’ mental health. Methods The mental health status of 120 male migrant workers with pneumoconiosis was investigated using SCL-90, a self-rating symptom checklist prepared by Derogatis LR. Results Somatization, coercion, interpersonal relationship, depression, anxiety, hostility, terror and paranoid factors of 120 migrant workers with pneumoconiosis were higher than those of national norms. The difference was statistically significant (P <0.01). Among them, SCL-90 was more than 4 points on average in somatization, depression and anxiety. With the increase of pneumoconiosis in migrant workers with pneumoconiosis, SCL-90 scores gradually increased except for paranoid and psychiatric factors Increase, the difference was statistically significant (P <0.01). Conclusions There are serious mental health problems among migrant workers with pneumoconiosis. Mental health counseling and treatment should also be the main contents of comprehensive treatment of pneumoconiosis.