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[目的]评价尘肺患者的生存质量现状,分析其影响因素。[方法]2008年采用世界卫生组织生存质量测定量表简表(WHO QOL-BREF量表)对2007年12月至2008年12月在济南市职业病防治院和山东省职业卫生与职业病防治研究院门诊就诊和住院治疗的尘肺患者243例进行调查,并对影响尘肺患者生存质量的因素进行逐步回归分析。[结果]尘肺患者的生存质量自评分及生理、心理、社会、环境4个领域得分均低于1∶1配比的对照组(P<0.01)。逐步回归分析结果,年龄、接尘工龄、婚姻状况、居住地区、兴趣爱好、是否饮酒、疾病期别、收入评价、经济收入状况、食欲、家庭磨擦对生活的影响、是否需要经常性的治疗、肺部有无干湿性啰音、平时有无呼吸系统症状、对医疗条件的满意度等与尘肺患者的生存质量(生理、心理、社会、环境领域中的1方面或多方面)有关。[结论]尘肺患者的生存质量明显下降。年龄、家庭状况、就医条件、并发症(合并症)是影响他们生存质量的重要因素。
[Objective] To evaluate the quality of life of pneumoconiosis patients and analyze its influential factors. [Methods] The WHO QOL-BREF scale was used to measure the quality of life in Jinan City from December 2007 to December 2008 in Jinan Occupational Disease Prevention Hospital and Shandong Institute of Occupational Health and Occupational Disease Prevention Outpatients and hospitalized patients with pneumoconiosis were investigated in 243 cases, and the factors that affect the quality of life of patients with pneumoconiosis stepwise regression analysis. [Results] The scores of quality of life and score of physical, psychological, social and environmental areas in patients with pneumoconiosis were all lower than those in the control group with 1: 1 ratio (P <0.01). Gradually regression analysis of the results of the analysis, the age, the age of access to dust, marital status, living area, hobbies, drinking, disease period, income evaluation, economic status, appetite, family friction on the life, whether the need for regular treatment, Whether the lungs have wet and dry rales, usually have no respiratory symptoms, the satisfaction of medical conditions and the quality of life of patients with pneumoconiosis (physiological, psychological, social, environmental areas of one or more aspects). [Conclusion] The quality of life of patients with pneumoconiosis decreased significantly. Age, family status, medical conditions, complications (comorbidities) are important factors affecting their quality of life.