叶梦娟, 高峰, 邱光文, 甘俊英, 周燕, 彭必勤. 马鞍山市尘肺病患者生命质量及影响因素研究[J]. 职业卫生与应急救援, 2024, 42(4): 464-469. DOI: 10.16369/j.oher.issn.1007-1326.2024.04.008
引用本文: 叶梦娟, 高峰, 邱光文, 甘俊英, 周燕, 彭必勤. 马鞍山市尘肺病患者生命质量及影响因素研究[J]. 职业卫生与应急救援, 2024, 42(4): 464-469. DOI: 10.16369/j.oher.issn.1007-1326.2024.04.008
YE Mengjuan, GAO Feng, QIU Guangwen, GAN Junying, ZHOU Yan, PENG Biqin. Study on quality of life and influencing factors of pneumoconiosis patients in Ma'anshan City[J]. Occupational Health and Emergency Rescue, 2024, 42(4): 464-469. DOI: 10.16369/j.oher.issn.1007-1326.2024.04.008
Citation: YE Mengjuan, GAO Feng, QIU Guangwen, GAN Junying, ZHOU Yan, PENG Biqin. Study on quality of life and influencing factors of pneumoconiosis patients in Ma'anshan City[J]. Occupational Health and Emergency Rescue, 2024, 42(4): 464-469. DOI: 10.16369/j.oher.issn.1007-1326.2024.04.008

马鞍山市尘肺病患者生命质量及影响因素研究

Study on quality of life and influencing factors of pneumoconiosis patients in Ma'anshan City

  • 摘要:
    目的 了解马鞍山市现存尘肺病患者的生命质量,探讨相关影响因素,为寻求提高其生命质量、减轻疾病负担的方法和途径提供依据。
    方法 2022年6—11月,选取现住址为马鞍山市辖区,被确诊为尘肺病的494名患者为调查对象,采用自制量表结合《简明健康调查量表》(36-Item Short-Form Health Survey,SF-36)对患者的基本情况、疾病情况及生命质量进行调查,应用多元线性回归模型分析尘肺病患者生命质量的影响因素。
    结果 患者中有男性488例(占98.8%),女性6例(占1.2%);文化程度为小学及以下的有308例(占62.35%),接尘工龄10年以下的有225例(占45.55%);尘肺病分期以壹期为主,共380例(占76.92%);112例(占22.67%)患者有并发症;398例(占80.57%)患者自觉健康状况比1年前差。尘肺病患者总体生命质量得分及躯体功能(PF)、躯体角色(RP)、躯体疼痛(BP)、一般健康状况(GH)、生命力(VT)、社会职能(SF)、情感职能(RE)、心理健康(MH)共8个维度得分均有不同程度下降。多因素分析结果显示,与80岁及以上年龄组患者相比,70~79、60~69、≤ 59岁组患者生命质量总分分别提高8.171分、13.139分、15.563分(均P < 0.001);相对于文化程度小学及以下、有慢性病、有并发症、独居或居住在养老院、接尘工龄≥ 30年、伤残等级1~4级、尘肺病叁期的患者,文化程度高中及以上、无慢性病、无并发症、与家人居住在一起、接尘工龄≤ 9年、伤残等级7级及以上、尘肺病壹期的患者的生命质量总分分别提高5.358分、6.897分、6.117分、10.349分、12.386分、6.347分和15.152分(均P < 0.05)。
    结论 马鞍山市尘肺病患者总体生命质量不高,建议重点关注年龄较大、独居或居住在养老院、患有慢性病或尘肺病并发症、低学历,以及尘肺病分期较高的尘肺病患者的生命质量状况。

     

    Abstract:
    Objective To understand the quality of life of patients with pneumoconiosis in Ma'anshan City, to explore related influencing factors, and to provide a basis for seeking methods and approaches to improve their quality of life and reduce the burden of disease.
    Methods From June to November 2022, 494 patients diagnosed with pneumoconiosis and residing in Ma'anshan City were studied. A self-made questionnaire combined with the 36-Item Short-Form Health Survey (SF-36) was used to investigate the patients' basic conditions, disease status, and quality of life. The factors affecting patients' quality of life were analyze using a multiple linear regression model.
    Results Among all patients with pneumoconiosis, 488 were male (98.8%) and 6 were female (1.2%); 308 patients (62.35%) had an education level of elementary school or below; 225 patients (45.55%) had less than 10 years of dust exposure; 380 patients (76.92%) were in the first stage of pneumoconiosis; 112 patients (22.67%) had complications; and 398 patients (80.57%) felt that their health status was worse than a year ago. The overall quality of life scores and the scores of eight dimensions, including physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH), all showed varying degrees of decline. Multivariate analysis showed that compared with patients aged 80 and above, the total quality of life scores of patients in the 70 to 79, 60 to 69, and under 59 age groups improved by 8.171, 13.139, and 15.563 points, respectively (all P < 0.001); compared with patients with an education level of elementary school or below, chronic diseases, complications, living alone or in nursing homes, dust exposure longer than 30 years, disability levels of grades 1 to 4, and stage Ⅲ pneumoconiosis, the total quality of life scores of patients with an education level of high school or above, no chronic diseases, no complications, living with family, dust exposure less than 9 years, disability levels of grade 7 and above, and stage Ⅰ pneumoconiosis increased by 5.358, 6.897, 6.117, 10.349, 12.386, 6.347, and 15.152 points, respectively (all P < 0.05).
    Conclusions The overall quality of life of patients with pneumoconiosis in Ma'anshan City was not high. It is recommended to focus on the quality of life status of pneumoconiotics who are older, living alone or in nursing homes, suffering from chronic diseases or complications of pneumoconiosis, with low education levels, and in the advanced stages of pneumoconiosis.

     

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