黑龙江省氟中毒病区居民生存质量调查  

Investigation on quality of life of residents living in fluorosis area of Heilongjiang Province

作　　者：刘国杰[1] 林平[2] 高学琴[3] 赵振娟[3] 李玲[3] 

机构地区：[1]哈尔滨医科大学附属第二医院护理学院,150086 [2]哈尔滨医科大学附属第二医院护理部,150086 [3]哈尔滨医科大学附属第二医院心内科,150086

出　　处：《中华现代护理杂志》2013年第10期1117-1122,共6页Chinese Journal of Modern Nursing

摘　　要：目的调查黑龙江省饮水型氟中毒病区居民生存质量，探讨其影响因素。方法选择黑龙江省饮水型氟中毒病区居民289人，采用中文版的简明健康调查量表（SF36）、体力活动问卷（IPAQ）、一般资料调查表进行调查。结果本组居民中氟暴露197人，其中74人患氟骨症。氟暴露氟骨症居民、氟暴露无氟骨症居民、非氟暴露居民生理健康总评得分分别为（234.85±96.91），（235.41±91.31），（248.93±86.89）分，与常模比较，差异有统计学意义（t值分别为-10.27，-7.56，-7.84；P均＜0.01）。氟骨症居民生存质量受损最为严重；氟骨症居民躯体疼痛、情感职能得分分别为（49.38±26.57），（58.33±43.26），无氟骨症居民分别为（49.86±25.76），（68.83±44.09），非氟暴露居民分别为（58.16±25.00），（77.03±38.59），3组间躯体疼痛、情感职能得分比较，差异有计学意义（F值分别为3.47，4.06；P＜0.05）。影响氟骨症居民生理健康的主要因素为性别、氟骨症严重程度、体力活动;影响氟骨症居民心理健康的主要因素为性别、年人均收入、居住时间。结论氟中毒病区居民生存质量低下，氟骨症居民生存质量受损严重，应从生理和心理两个方面采取积极措施以提高其生存质量。Objective To investigate the quality of life of residents living in high-fluoride-water area of Heilongjiang province and study its influencing factors. Methods A total of 289 residents in high-fluoride-water area of Heilong^iang Province were investigated with Short Form 36 Health Survey Questionnaire （SF-36）, International Physical Activity Questionnaire （IPAQ） and General Information Questionnaire in 2012. Results There were 197 fluoride-exposed residents, 74 of which were diagnosed with skeletal fluorosis. The total score of physical health of the skeletal fluorosis residents, non-skeletal fluorosis residents and non-fluorideexposed residents were respectively （234.85 ±96.91 ） , （235.41 ± 91.31 ） and （248.93 ± 86.89 ） , there were significant differences compared with norm （t = - 10.27, -7.56, -7.84, respectively; P 〈 0.01 ） , and the skeletal fluorosis residents had the most severe damage of quality of life. The score of body pain and emotional role of the skeletal fluorosis residents, non-skeletal fluorosis residents and non-fluoride-exposed residents were respectively（49.38 ＋26.57） and（58.33 ＋43.26）, （49.86 ±25.76） and（68.83 ±44.09）, （58. 16± 25.00） and（77.03 ±38.59）, and there was significant difference in body pain and emotional role among the three groups（ F = 3.47, 4.06, respectively ; P 〈 0.05 ）. The influencing factors of physical component among the skeletal fluorosis residents were gender, severity of skeletal fluorosis, physical activity, while the influencing factors of mental component were gender, annual per capita income and living time. Conclusions Residents＇ quality of life was most serious damaged in high-fluoride-water area. Positive measures should be taken from both physiological and psychological aspects to improve their quality of life.

关 键 词：氟骨症 生存质量 饮水型氟中毒 

分 类 号：R599[医药卫生—内科学]