| 个性化职业健康教育对改善职业病患者心理健康效果 |
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| 引用本文： | 黄丽屏,江嘉欣,赵娜,周珊宇,郑倩玲,陈嘉斌. 个性化职业健康教育对改善职业病患者心理健康效果[J]. 职业卫生与应急救援, 2016, 34(5): 369. DOI: 10.16369/j.oher.issn.1007-1326.2016.05.005 |
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| 作者姓名： | 黄丽屏 江嘉欣 赵娜 周珊宇 郑倩玲 陈嘉斌 |
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| 作者单位： | 广东省职业病防治院, 广东省职业病防治重点实验室, 广东 广州 510300 |
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| 基金项目： | 广东省医学科学技术研究基金(编号:A2012062);国家临床重点专科建设项目经费资助(编号:2011-09) |
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| 摘 要： | 目的 探讨职业健康教育在职业病治疗中的作用与效果。 方法 按照随机化原则将住院治疗的526例职业病患者随机分对照组、观察组各263例,对照组给予常规护理,观察组在常规护理基础上增加针对性的职业健康教育;采用SCL-90量表、职业健康教育效果调查表进行效果评价。 结果 实施职业健康教育宣教后,观察组患者SCL-90量表中躯体化、强迫症状、抑郁、敌对、焦虑等5个症状评分低于对照组,差异有统计学意义(P<0.05或0.01);观察组患者SCL-90量表5个症状评分在针对性宣教前后比较,宣教后评分均低于宣教前,差异有统计学意义(P<0.05或0.01)。宣教后,职业健康教育效果评价指标中患者掌握职业病危害知识、对医生信任度、情绪稳定、知道劳动者的权益等方面比较,观察组好于对照组,差异有统计学意义(P<0.01)。 结论 职业病患者在常规护理基础上给予针对性的职业健康教育,能使患者了解更多职业病防治知识,缓解心理压力,提高治疗效果,促进患者康复。
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| 关 键 词： | 个性化 职业健康教育 职业病 SCL-90量表 |
| 收稿时间： | 2016-06-17 |
Effect of individualized occupational-health education on improvement of mental health condition of patients with occupational diseases |
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| Abstract: | Objective To observe the effect of individualized occupational-health education on improvement of mental health condition of patients with occupational diseases. Methods Totally 526 occupational disease inpatients were randomly divided into two groups; the patients in intervention group received additionally occupational health education except for the routine treatment and nursing. The mental health condition of these patients was assessed with questionnaire of symptoms check list-90(SCL-90)at the beginning, one month later and at discharge,respectively. Results After treatments the patients in the intervention group had lower scores of SCL-90 in 5 sections, namely somatization, obsession, depression, enmity and anxiety (P<0.05 or 0.01), compared with the patients in the control group, or compared with those at the hospitalization time. Furthermore, the patients in the intervention group mastered more knowledge on recognizing and managing occupational hazards,on their rights and interests in the employed units, and they had more trust in the medical doctors and showed more active and stable emotion(P<0.01). Conclusion The individualized occupational-health education played important role to improve both the mental health condition and knowledge on recognizing and managing occupational hazards of patients with occupational diseases. |
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