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

Abstract

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

CLC Number:

R135.2

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.

References

[1] HAYES D J,HAYES K T,HAYES H C,et al.Long-term survival after lung transplantation in patients with silicosis and other occupational lung disease[J].Lung,2015,193(6):927-931.
[2] 国家卫生健康委员会. 2021年我国卫生健康事业发展统计公报[EB/OL].(2022-07-12)[2023-02-09].http://www.nhc.gov.cn/guihuaxxs/s3586s/202207/51b55216c2154332a660157abf28b09d.shtml.
[3] 陈艳芹,贾丽丽,付真真,等.山东省2006—2016年新发职业病发病特征分析[J].中国职业医学,2018,45(6):805-808.
[4] 梁文靖,苏宁.尘肺病患者生存质量及影响因素分析[J].职业与健康,2016,32(6):745-747.
[5] 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.
[6] 武敬参,鄢秀英,王羽,等.健康调查简表与世界卫生组织生存质量测定量表简表在评价肺结核患者生存质量中的应用比较[J].华西医学,2016,31(3):463-466.
[7] 孟现玲,何玉廷,毛若琳,等.圣乔治呼吸问卷、CAT及mMRC评分在慢性阻塞性肺病中的应用[J].复旦学报(医学版),2022,49(6):862-868,876.
[8] PRIOR T S,HOYER N,SHAKER S B,et al.Validation of a derived version of the IPF-specific Saint George's Respiratory Questionnaire[J].Respir Res,2021,22(1):259.
[9] 周勇,贺婉婷,黎亚樊,等.郴州市尘肺病患者生存质量及其影响因素[J].湘南学院学报(医学版),2020,22(3):49-53.
[10] 胡香春,胡祖应,付延康,等.杭州市部分尘肺病患者的生存质量调查[J].中华劳动卫生职业病杂志,2019,37(9):673-677.
[11] 鞠强,黄振遥,汤玲,等.住院尘肺病患者生存质量调查及其影响因素分析[J].职业与健康,2014,30(8):1034-1037.
[12] 张美荣,陆文春.生存质量评估简表和圣乔治呼吸问卷评价煤工尘肺患者生存质量的研究[J].职业与健康,2015,31(22):3073-3076.
[13] 刘璐,李芸,章一华,等.职业病患者生存质量及延续护理服务需求调查分析[J].职业卫生与应急救援,2019,37(6):528-531.
[14] 刘钢. 尘肺病患者的生存质量及其影响因素研究[J].中国医药指南,2018,16(26):101-102.
[15] 周素芳,张红,姜海.尘肺合并肺结核患者生存质量与社会支持相关性研究[J].工业卫生与职业病,2023,49(1):62-65.
[16] 曾强,贾钦尧,李新胜.绵阳地区尘肺合并慢性阻塞性肺疾病患者的生存质量分析[J].职业与健康,2020,36(11):1445-1448.
[17] 耿叶,介万,张思佳,等.慢性病共病流行现状及防治的研究进展[J].中国慢性病预防与控制,2023,31(1):71-75.
[18] 李慎良,谭志军,张海悦,等.老年人慢性病患病及健康相关生存质量影响因素研究[J].空军军医大学学报,2022,43(7):705-710.
[19] 许伟玲,王定彬,王小丹,等.海南省农村居民生命质量的影响因素分析[J].现代预防医学,2020,47(22):4190-4193.
[20] 中华预防医学会劳动卫生与职业病分会职业性肺病学组,中华预防医学会煤炭系统分会职业病学组.尘肺病肺康复中国专家共识(2022)年版[J].环境与职业医学,2022,39(8):574-588.
[21] 马文娣,高珊珊,李侠.某医院住院尘肺患者的自我护理能力、健康促进行为及其影响因素研究[J].现代预防医学,2018,45(20):3681-3684,3693.
[22] 张小舟,孙立英.跟踪联动自我管理模式对尘肺病患者自护能力及生存质量的影响[J].工业卫生与职业病,2020,16(2):126-128.
[23] 王苗苗,张群,云翔,等.运动训练干预对尘肺稳定期患者康复的作用[J].中国康复医学杂志,2021,35(5):564-569.
[24] 谷晓新,李巧玲,王海燕.健康宣教对职业性尘肺病患者生活质量的影响[J].中国城乡企业卫生,2018,6(6):67-68.
[25] 景华,崔萍,王文霞,等.农民工尘肺患者生存质量及影响因素研究[J].中华劳动卫生职业病杂志,2020,38(9):682-685.
[26] 伍甜甜,虞建英,肖亚洲,等.湖南省成年居民睡眠状况及其影响因素分析[J].现代预防医学,2022,49(20):3766-3770,3805.