Effect on the treatment of patients with pneumoconiosis using cognitive behavior therapy combined with pulmonary rehabilitation
Objective To observe the clinical effects of cognitive behavioral therapy(CBT)combined with pulmonary rehabilitation on the treatment of patients with pneumoconiosis.Methods A total of 108 patients with pneumoconiosis were selected as the research subject using convenient sampling method.They were randomly divided into control group and CBT group,with 54 cases in each group.Patients in the control group were treated with conventional symptomatic treatment and pulmonary rehabilitation treatment for 12 weeks.While patients in the CBT group were treated with CBT treatment in addition to treatments of the control group.The therapeutic effect was analyzed.Results Before treatment,there was no statistical difference on score of Montreal Cognitive Assessment(MoCA),percentage of forced expiratory volume in one second to the predicted value(FEV1%),forced expiratory volume in one second to force vital capacity ratio(FEV1/FVC%),score of the Modified Medical Research Council Dyspnea Scale(mMRC),six minute walk distance(6MWD),Hospital Anxiety and Depression Scale(HADS)subscale scores of anxiety(HADS-A)and depression(HADS-D),and scores of Chronic Obstructive Pulmonary Disease Assessment Test(CAT),St.George's Respiratory Questionnaire(SGRQ),and serum levels of leptin,interleukin-6(IL-6)and C-reactive protein(CRP)between the two groups(all P>0.05).After treatment,the score of MoCA,FEV1%,FEV1/FVC%and 6MWD increased(all P<0.05),while the scores of mMRC,HDS-A,HDS-D,CAT and SGRQ decreased(all P<0.05),and the levels of serum leptin,IL-6 and CRP decreased(all P<0.05)in the CBT group compared with the control group.Conclusion The combined treatment of CBT and pulmonary rehabilitation can better improve the cognitive ability,respiratory function,motor function,negative emotion and quality of life,and alleviate inflammatory response in patients with pneumoconiosis.It is of certain clinical application value.
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