目的 了解重庆市武隆区尘肺病患者生存质量及其影响因素,为提高尘肺患者生存质量及尘肺治疗与康复提供参考依据,为尘肺康复站的发展提供参考意见.方法 以2021年1月-2022年12月在重庆市武隆区白马中心卫生院尘肺病康复站进行康复治疗的同时符合纳入标准的152例患者作为调查对象,选择自制的一般人口学资料调查表和世界卫生组织生存质量测定简表(World Health Organization quality of life-bref,WHOQOL-BREF)进行问卷调查,从生理、心理、社会和环境4个维度评价尘肺患者的生存质量,并对影响生活质量的有关因素进行分析.结果 接受调查的152例患者中47人(30.9%)感觉自身生存质量好或者很好,36人(23.7%)满意或者很满意自己的健康状况.尘肺病患者生理、心理、社会、环境领域得分与常模比较,差异均有统计学意义(均P<0.05).生活自理程度、睡觉能否平卧、人均月收入、家庭和睦程度、感觉受尊重程度等因素与生存质量的1个或多个领域有关系,得分差异均有统计学意义(均P<0.05).结论 重庆市武隆区尘肺病患者生存质量差,不仅要关注疾病本身对生存质量的影响,还应加强对患病以后社会因素和外部因素的关注,以改善患者的生存质量,加快尘肺病康复站发展.
Investigation on quality of life and influencing factors of pneumoconiosis patients in Wulong District of Chongqing City
Objective To investigate the quality of life of patients with pneumoconiosis and its influencing factors in Wulong District of Chongqing City,so as to provide reference for improving the quality of life of pneumoconiosis patients,as well as pneumoconiosis treatment and rehabilitation,and provide reference opinions for the development of pneumoconiosis rehabilitation stations.Methods From January 2021 to December 2022,152 patients who met the inclusion criteria and received rehabilitation treatment in the Pneumoconiosis Rehabilitation Station of Baima Central Health Center in Wulong District of Chongqing City were selected as the research objects.The questionnaire investigation was conducted by the self-made general demographic data questionnaire and the World Health Organization quality of life-brief(WHOQOL-BREF).The quality of life of pneumoconiosis patients was evaluated from physiological,psychological,social and environmental dimensions,and the relevant influencing factors were analyzed.Results A total of 47(30.9%)of the 152 subjects felt their life quality was good or very good,and 36(23.7%)were satisfied or very satisfied with their health status.There were statistically significant differences between the scores of patients with pneumoconiosis in physiological,psychological,social and environmental fields and corresponding norms(all P<0.05).The degree of self-care,supine position or not when sleeping,per capita monthly income,degree of family harmony and degree of feeling respected were correlated with one or more areas of quality of life,and the differences in scores were statistically significant(all P<0.05).Conclusion The quality of life of patients with pneumoconiosis in Wulong District of Chongqing City is poor,and it is necessary to not only pay attention to the impact of the disease itself on the quality of life,but also pay more attention to social factors and external factors after the disease,so as to improve the quality of life of patients and accelerate the development of pneumoconiosis rehabilitation stations.
PneumoconiosisQuality of lifeInfluencing factorsQuestionnaire investigation