尘肺病174例患者生活质量调查  

Investigation on quality of life in 174 patients with pneumoconiosis

作　　者：邱新香[1] 谭丽珍[1] 曾伟芳[1] 岑雄 吴劲松[1] 郝元涛[2] 

机构地区：[1]广东省职业病防治院中毒防治所,广州市510300 [2]中山大学公共卫生学院

出　　处：《职业与健康》2014年第8期1040-1043,共4页Occupation and Health

基　　金：国家临床重点专科建设项目经费资助(项目编号:2011-09);广东省医学科学技术研究基金(项目编号:A2012066;项目编号:A2008059)

摘　　要：目的探讨广东省尘肺病患者生活质量水平,为制定有效的干预措施提供科学依据。方法以整群抽样的方法采用世界卫生组织生存质量评估简表(WHOQOL-BREF)和圣乔治呼吸问卷(SGRQ)对广东省174例尘肺病患者进行调查。结果患者生活质量处于中等及以下水平,WHOQOL-BREF各领域得分均低于对照人群(P<0.01)。各条目得分均低于对照组,除环境条件、医疗服务、交通条件外其他各条目得分差异均有统计学意义(P<0.05或P<0.01)。结论患者的呼吸道症状、睡眠与休息、获取知识技能的机会和消极感受等影响到其生活质量水平,提示在临床护理工作中应重点培养患者的自我管理效能,做好健康教育,指导其进行有效的呼吸功能训练,采取加强心理护理和出院后延续性护理等综合干预措施来提高患者生活质量水平。[ Objective ] To explore the quality of life in patients with pneumoconiosis in Guangdong, provide scientific basis for mak- ing the effective intervention measures. [ Methods] By the cluster sampling method, 174 patients with pneumoconiosis in Guang- dong were surveyed with WHO Quality of Life-BREF I WHOQOL-BREF } and St George＇s Respiratory Questionnaire （ SGRQ }. [ Results] The quality of life in patients with pneumoconiosis belonged to the medium and below level. The scores of all items were lower than those of the control group. Except for environmental condition, medical service and transportation condition, the differ- ences in other items were statistically significant （ P 〈 0.05 or P 〈 0.01 ）. [ Conclusion] The quality of life in patients with pneumo- coniosis is influenced by their respiratory symptoms, sleep and rest, and opportunity of obtaining knowledge and skills. Therefore, the clinical nursing care should focus on the training of self management efficiency of patients, implement the health education, car- ry out the effective respiratory function training, and strengthen the psychological care and continued nursing care after discharge, as well as other comprehensive intervention measures, to improve the quality of life of patients.

关 键 词：尘肺病患者 广东 生活质量 

分 类 号：R181.31[医药卫生—流行病学]