烟台市尘肺病患者生存质量及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (1): 14-17.

烟台市尘肺病患者生存质量及影响因素分析

米兆娟¹, 陈超¹, 孙东亮², 王磊³, 刘薇¹, 阎西革¹

1.烟台市疾病预防控制中心职业卫生科,山东烟台 264003;
2.烟台市芝罘区疾病预防控制中心职业卫生科,山东烟台 264001;
3.烟台市蓬莱区疾病预防控制中心职业卫生科,山东烟台 265600

收稿日期:2023-06-11 修回日期:2023-07-03 出版日期:2024-01-01 发布日期:2026-03-11
通信作者: 阎西革,主任医师,E-mail：ytjkzhwk@yt.shandong.cn
作者简介:米兆娟,女,副主任医师,主要从事职业病监测与风险评估工作。
基金资助:
烟台市科技计划项目（2021YD090）

Analysis on quality of life and influencing factors of pneumoconiosis patients in Yantai City

MI Zhaojuan¹, CHEN Chao¹, SUN Dongliang², WANG Lei³, LIU Wei¹, YAN Xige¹

1. Department of Occupational Health, Yantai Center for Disease Control and Prevention, Yantai Shandong, 264003, China;
2. Department of Occupational Health, Yantai Zhifu District Center for Disease Control and Prevention, Yantai Shandong, 264001, China;
3. Department of Occupational Health, Yantai Penglai District Center for Disease Control and Prevention, Yantai Shandong, 265600, China

Received:2023-06-11 Revised:2023-07-03 Online:2024-01-01 Published:2026-03-11
Contact: YAN Xige,Chief physician,E-mail：ytjkzhwk@yt.shandong.cn

摘要/Abstract

摘要： 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。

关键词: 尘肺病, 生存质量, 生存质量测定表简表, St George’s 呼吸问卷, 影响因素

Abstract: 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.

Key words: Pneumoconiosis, Quality of life, Wold Health Organization quality of life-bref, St George's respiratory questionnaire, Influencing factors

中图分类号:

R135.2

米兆娟, 陈超, 孙东亮, 王磊, 刘薇, 阎西革. 烟台市尘肺病患者生存质量及影响因素分析. [J]职业与健康, 2024, 40(1): 14-17.

MI Zhaojuan, CHEN Chao, SUN Dongliang, WANG Lei, LIU Wei, YAN Xige. Analysis on quality of life and influencing factors of pneumoconiosis patients in Yantai City. [J]OCCUPATION AND HEALTH, 2024, 40(1): 14-17.

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