首页|职业性慢性苯中毒患者生活质量与临床指标的典型相关分析

职业性慢性苯中毒患者生活质量与临床指标的典型相关分析

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目的 探讨职业性慢性苯中毒患者生活质量与临床客观指标的相关性,为患者个体化、差异性治疗,提高其生命质量提供依据.方法 选取2020年1月—2022年8月在广东省职业病防治院确诊住院的62例职业性慢性苯中毒患者,采用《健康调查简表》(SF-36)对其生活质量进行调查,采集患者入院时白细胞、红细胞、血小板计数、中性粒细胞绝对值、血红蛋白等血常规临床指标.采用典型相关模型分析患者生活质量和临床客观指标间的相关性.结果 62例患者《健康调查简表》(SF-36)总均分为(37.48±19.58)分,低于常模.典型相关分析提取出1对典型变量,两者存在中等程度的相关性(r=0.684,P<0.05).反映临床指标及人口学特征的第1对典型变量主要由体重指数(BMI)、白细胞计数(WBC)和中性粒细胞绝对值(NL)决定,标准化典型相关系数分别为-0.891、0.378和-0.477;反映生活质量的第1对典型变量主要由躯体疼痛(BP)、社会职能(SF)、情感职能(RE)和躯体功能(PF)决定,标准化典型相关系数分别为-0.482、-0.387、0.538和-0.490.结论 患者的血常规临床相关指标与其生活质量存在较为复杂的相关性,临床医生在治疗时应予以重视,综合多方面因素提高职业性苯中毒患者的心理健康和生活质量.
Canonical correlation analysis of quality of life and clinical indicators in patients with occupational chronic benzene poisoning
Objective To explore the correlation between the quality of life and clinical indicators in patients with occupational benzene poisoning,providing a basis for individualized and differentiated treatment to improve their quality of life.Methods A total of 62 patients diagnosed with occupational chronic benzene poisoning and hospitalized from January 2020 to August 2022 were studied.The SF-36 Health Survey was used to assess their quality of life,and routine clinical indicators of blood such as white blood cell count,red blood cell count,platelet count,absolute neutrophil count,and hemoglobin were collected from the patients.Canonical correlation analysis was used to analyze the correlation between quality of life and clinical indicators.Results The total average score of the SF-36 Health Survey of 62 patients was(37.48±19.58),which was lower than the norm.Canonical correlation analysis extracted one pair of canonical variables,showing a moderate correlation(r=0.684,P<0.05).The first pair of canonical variables reflecting clinical indicators and demographic characteristics were mainly determined by body mass index(BMI),white blood cell count,and absolute neutrophil count,with standardized canonical correlation coefficients of-0.891,0.378,and-0.477,respectively;the first pair of canonical variables reflecting the quality of life were mainly determined by bodily pain,social functioning,emotional role,and physical functioning,with standardized canonical correlation coefficients of-0.482,-0.387,0.538,and-0.490,respectively.Conclusions There was a high and complex correlation between the quality of life and clinical indicators,such as routine blood examination indicators of patients.Clinicians should pay attention to these factors in treatment to comprehensively improve the mental health and quality of life of patients with occupational benzene poisoning.

benzene poisoningSF-36 Health Surveyclinical indicatorsquality of lifecanonical correlation

甘雯珍、邱新香、曾艳、温绿琴、张婷、杜婉莹

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广东省职业病防治院,广东 广州 510300

苯中毒 健康调查量表 临床指标 生活质量 典型相关

广东省医学科研项目职业病临床研究展翅计划

A2014075202301002

2024

职业卫生与应急救援
上海市职业安全健康研究院,上海市化工职业病防治院

职业卫生与应急救援

CSTPCD
影响因子:0.515
ISSN:1007-1326
年,卷(期):2024.42(4)
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