目的 了解烟台市尘肺病患者生存质量现状及影响因素,为制定提升尘肺病患者生存质量的措施提供参考依据.方法 在1949-2020年烟台市诊断的职业性尘肺病现患病例数据库中按病程分层抽取300例为病例组,同性别、年龄相差不超过3岁的普通人群600例为对照组.使用生存质量测定表简表(World Health Organization quality of life-bref,WHOQOL-BREF)和 St George's 呼吸问卷(St George's respiratory questionnaire,SGRQ)综合评价研究对象的生存质量,采用多元线性回归分析尘肺病患者生存质量的影响因素.结果 病例组WHOQOL-BREF总分[M(P25,P75)]为224.20(199.96,246.60)分,显著低于对照组(P＜0.05);SGRQ总分[M(P25,P75)]为137.30(109.70,186.50)分,显著高于对照组(P＜0.05).尘肺病患者生存质量的负向影响因素为尘肺合并症数量、其他慢性病数量;正向影响因素为集中供暖、个人月收入和睡眠时间.结论 烟台市尘肺病患者的生存质量明显低于普通人群.积极预防尘肺并发症和其他慢性病的发生,改善患者采暖方式、收入水平和睡眠状况可提高尘肺病患者的生存质量.
Analysis on quality of life and influencing factors of pneumoconiosis patients in Yantai City
Objective To explore the current situation and factors influencing the quality of life of pneumoconiosis patients in Yantai,and to provide a scientific basis for developing measures to improve the quality of life of pneumoconiosis patients.Methods A total of 300 cases of occupational pneumoconiosis diagnosed in Yantai City from 1949 to 2020 were stratified by disease duration as the case group and 600 cases of the general population with the same sex and age difference of less than 3 years were selected as the control group.The quality of life of the study subjects was evaluated by World Health Organization quality of life-bref(WHOQOL-BREF)and the St George's respiratory questionnaire(SGRQ),and the factors influencing the quality of life of pneumoconiosis patients were analyzed by multiple linear regression analysis.Results The total score of WHOQOL-BREF[M(P25,P75)]in case group was 224.20(199.96,246.60)points,which was significantly lower than that in control group(P＜0.05).The total score of SGRQ[M(P25,P75)]was 137.30(109.70,186.50)points,which was significantly higher than that in the control group(P＜0.05).The negative influences on the quality of survival of pneumoconiosis patients were the number of pneumoconiosis comorbidities and other chronic diseases.The positive influences were central heating,personal monthly income and sleep time.Conclusions The quality of survival of pneumoconiosis patients in Yantai is significantly lower than that of the general population.Active prevention of pneumoconiosis comorbidities and other chronic diseases,improvement of patients'heating methods,income level and sleep status can effectively improve the survival quality of pneumoconiosis patients.
PneumoconiosisQuality of lifeWold Health Organization quality of life-brefSt George's respiratory questionnaireInfluencing factors
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NSTL
万方数据
