云南省昭通市农民工尘肺病患者生存质量分析
|
摘要
目的分析农民工尘肺病患者生存质量及其影响因素。方法采用典型抽样方法,以云南省昭通市2个村83例农民工尘肺病患者为尘肺组,以同村85名非尘肺病农民工为对照组。采用《生存质量测定量表简表》调查2组人群生存质量。结果与对照组比较,2015年尘肺组人群家庭年均收入降低(P<0.01),用于疾病治疗的家庭年均支出增加(P<0.01)。尘肺组人群生存质量总评分及其生理、心理、环境和社会4个领域的评分均低于对照组(P<0.01)。多重线性回归分析结果显示,尘肺组人群生存质量总分的影响因素为并发症、能否做家务,生理领域的影响因素为能否做家务,心理领域的影响因素为有无并发症、家庭年均收入,社会领域的影响因素为婚姻状况、能否做家务和文化程度,环境领域的影响因素为家庭年均收入、能否做家务。结论农民工尘肺病患者的生存质量较差,并发症、离异或丧偶降低了其生存质量,而文化程度较高、家庭年均收入越高及能做家务对其生存质量有较积极的促进作用。
Objective To analyze the quality of life(QOL) of peasant workers with pneumoconiosis and its main influencing factors. Methods A typical sampling method was used to select 83 peasant workers with pneumoconiosis in two villages in Zhaotong City, Yunnan Province as the pneumoconiosis group, and 85 non-pneumoconiosis peasant workers in the same village selected as the control group. The QOL of the two groups was investigated using the Quality of Life Measurement Scale. Results The average annual family income of pneumoconiosis group was much lower and average annual expenditure of the family for disease treatment increased in 2015(P<0.01) compared with the control group. The total score of QOL and its average scores in the physical, psychological, environmental and social fields of pneumoconiosis group were lower than that of the control group(P<0.01). The multiple stepwise regression analysis results showed significant factors related to all functional domain scores of QOL in the pneumoconiosis group. For the total score of QOL, complication and ability to do housework were the significant factors. In the physical domain of QOL, only doing housework was the significant factor. In the psychological domain of QOL, complications and average annual family income were the significant factors. Marital status, doing housework and educational level were the significant factors for the social domain of QOL. The significant factors for the environmental domain of QOL were average annual family income and doing housework. Conclusion The QOL of migrant workers with pneumoconiosis was poor. Complications, divorcement or widowhood reduced the quality of their lives. Higher education degree, higher average annual family income and higher ability to do housework played a positive role in promoting the QOL of peasant workers with pneumoconiosis.
Objective To analyze the quality of life(QOL) of peasant workers with pneumoconiosis and its main influencing factors. Methods A typical sampling method was used to select 83 peasant workers with pneumoconiosis in two villages in Zhaotong City, Yunnan Province as the pneumoconiosis group, and 85 non-pneumoconiosis peasant workers in the same village selected as the control group. The QOL of the two groups was investigated using the Quality of Life Measurement Scale. Results The average annual family income of pneumoconiosis group was much lower and average annual expenditure of the family for disease treatment increased in 2015(P<0.01) compared with the control group. The total score of QOL and its average scores in the physical, psychological, environmental and social fields of pneumoconiosis group were lower than that of the control group(P<0.01). The multiple stepwise regression analysis results showed significant factors related to all functional domain scores of QOL in the pneumoconiosis group. For the total score of QOL, complication and ability to do housework were the significant factors. In the physical domain of QOL, only doing housework was the significant factor. In the psychological domain of QOL, complications and average annual family income were the significant factors. Marital status, doing housework and educational level were the significant factors for the social domain of QOL. The significant factors for the environmental domain of QOL were average annual family income and doing housework. Conclusion The QOL of migrant workers with pneumoconiosis was poor. Complications, divorcement or widowhood reduced the quality of their lives. Higher education degree, higher average annual family income and higher ability to do housework played a positive role in promoting the QOL of peasant workers with pneumoconiosis.
引文
[1] 贾光.健康中国,职业健康先行[J].北京大学学报(医学版),2016,48(3):389-391.
[2] 彭继丰.尘肺病农民工的生存现状分析[J].社会福利(理论版),2015(12):25-28.
[3] The WHOQOL Group.Development of the world health organization WHOQOL-BREF quality of life assessment[J].Psychol Med,1998,28(3):551-558.
[4] LIANG W M,CHEN J J,CHANG C H,et al.An empirical comparison of the WHOQOL-BREF and the SGRQ among patients with COPD[J].Qual Life Res,2008,17(5):793-800.
[5] YU H M,REN X W,CHEN Q,et al.Quality of life of coal dust workers without pneumoconiosis in mainland China[J].J Occup Health,2008,50(6):505-511.
[6] 朱燕波.生命质量(QOL)测量与评价[M].北京:人民军医出版社,2010:20-21.
[7] 李淑艳,熊伟,杨新跃.尘肺病患者生命质量研究现状:文献计量法分析[J].职业卫生与应急救援,2017,35(1):34-37,54.
[8] 宋志方,侯志国,柴莉莉,等.住院煤工尘肺患者生命质量及影响因素分析[J].中华劳动卫生职业病杂志,2013,31(3):205-207.
[9] 张晓红,姚成宜,薛玲,等.壹期尘肺108例患者生命质量调查[J].中国煤炭工业医学杂志,2013,16(6):970-972.
[10] 周玲,金承刚.尘肺病对患病农民家庭经济状况的影响[J].中国社会医学杂志,2015,32(4):300-303.
[11] 郝元涛,方积乾,POWER M J,等.WHO生存质量评估简表的等价性评价[J].中国心理卫生杂志,2006,20(2):71-75.
[12] 陈凤琼.重庆市煤工尘肺患者生存质量调查及影响因素分析[D].重庆:第三军医大学,2011.
[13] 邱新香,陈慈珊,温绿琴,等.尘肺病患者社会人口学特征对生活质量影响研究[J].中国职业医学,2013,40(1):10-14.
[14] 周勇,周一平,简丽梅,等.郴州市尘肺现患病人的生命质量及其心理状况调查与分析[J].文摘版(医药卫生),2015(7):165-166,277.
[15] 郝丽华,闫永建.尘肺患者生存质量评价及其影响因素分析[J].预防医学论坛,2009,15(3):214-216.
[16] 庞淑兰,关维俊,张艳淑,等.煤矿接尘工人生命质量影响因素分析[J].中国工业医学杂志,2004,17(4):255-257.
[17] 邬堂春.职业卫生与职业医学[M].8版.北京:人民卫生出版社,2017:189.
[18] 罗爱武.衡阳市新尘肺病例发病特征分析及其生存质量调查[D].衡阳:南华大学,2017.
[2] 彭继丰.尘肺病农民工的生存现状分析[J].社会福利(理论版),2015(12):25-28.
[3] The WHOQOL Group.Development of the world health organization WHOQOL-BREF quality of life assessment[J].Psychol Med,1998,28(3):551-558.
[4] LIANG W M,CHEN J J,CHANG C H,et al.An empirical comparison of the WHOQOL-BREF and the SGRQ among patients with COPD[J].Qual Life Res,2008,17(5):793-800.
[5] YU H M,REN X W,CHEN Q,et al.Quality of life of coal dust workers without pneumoconiosis in mainland China[J].J Occup Health,2008,50(6):505-511.
[6] 朱燕波.生命质量(QOL)测量与评价[M].北京:人民军医出版社,2010:20-21.
[7] 李淑艳,熊伟,杨新跃.尘肺病患者生命质量研究现状:文献计量法分析[J].职业卫生与应急救援,2017,35(1):34-37,54.
[8] 宋志方,侯志国,柴莉莉,等.住院煤工尘肺患者生命质量及影响因素分析[J].中华劳动卫生职业病杂志,2013,31(3):205-207.
[9] 张晓红,姚成宜,薛玲,等.壹期尘肺108例患者生命质量调查[J].中国煤炭工业医学杂志,2013,16(6):970-972.
[10] 周玲,金承刚.尘肺病对患病农民家庭经济状况的影响[J].中国社会医学杂志,2015,32(4):300-303.
[11] 郝元涛,方积乾,POWER M J,等.WHO生存质量评估简表的等价性评价[J].中国心理卫生杂志,2006,20(2):71-75.
[12] 陈凤琼.重庆市煤工尘肺患者生存质量调查及影响因素分析[D].重庆:第三军医大学,2011.
[13] 邱新香,陈慈珊,温绿琴,等.尘肺病患者社会人口学特征对生活质量影响研究[J].中国职业医学,2013,40(1):10-14.
[14] 周勇,周一平,简丽梅,等.郴州市尘肺现患病人的生命质量及其心理状况调查与分析[J].文摘版(医药卫生),2015(7):165-166,277.
[15] 郝丽华,闫永建.尘肺患者生存质量评价及其影响因素分析[J].预防医学论坛,2009,15(3):214-216.
[16] 庞淑兰,关维俊,张艳淑,等.煤矿接尘工人生命质量影响因素分析[J].中国工业医学杂志,2004,17(4):255-257.
[17] 邬堂春.职业卫生与职业医学[M].8版.北京:人民卫生出版社,2017:189.
[18] 罗爱武.衡阳市新尘肺病例发病特征分析及其生存质量调查[D].衡阳:南华大学,2017.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |