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  

Study on assessment of quality of life in patients with coal-worker's pneumoconiosis by QOL-BREF and SGRQ

作　　者：张美荣[1] 陆文春[1] 

机构地区：[1]徐州医学院公共卫生学院,江苏省徐州市221004

出　　处：《职业与健康》2015年第22期3073-3076,共4页Occupation and Health

基　　金：江苏省教育厅高校哲学社会科学基金项目(项目编号:2012SJB190016)

摘　　要：目的全面了解煤工尘肺患者生存质量水平,为制定提高煤工尘肺患者生存质量的措施提供科学依据。方法应用WHO生存质量评估简表(WHOQOL-BREF)、St.George's呼吸问卷(SGRQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和自行设计的尘肺病调查表,采用面对面调查方式收集资料,用Epi Date3.1软件建立数据库,用SPSS 18.0软件对调查数据进行统计分析。结果 1205例煤工尘肺患者自身生存质量及自身健康状况主观感受较差,其在生理、心理、社会关系和环境4个领域得分明显低于国内常模(P<0.01),各领域得分从高到低依次为:社会领域(12.21±2.26)、心理领域(11.59±1.38)、生理领域(11.22±2.03)、环境领域(10.68±1.49);2煤工尘肺患者SGRQ各维度实测得分值从高到低依次为活动受限(77.04±17.81)、呼吸症状(67.47±19.44)、总分(64.86±15.07)、疾病影响(64.60±17.96);有焦虑、抑郁心理的煤工尘肺患者SGRQ各维度实测得分值均明显高于无焦虑、抑郁心理的患者(P<0.01);3Pearson相关分析显示,煤工尘肺患者生存质量评估简表各领域得分与SGRQ各维度测得分值间存在负相关性(P<0.05),SAS评分、SDS评分与SGRQ各维度测得分值间呈正相关(P<0.01)。结论煤工尘肺患者生存质量较差,生存质量评估简表、焦虑、抑郁心理与SGRQ之间具有高度相关性,相互结合可综合评价煤工尘肺患者的生存质量。[ Objective] To comprehensively understand the quality of life in patients with coal-worker＇s pneumoconiosis（CWP）,provide scientific basis for making the intervention measures to enhance their quality of life.[ Methods] The World Health Organization Quality of Life-BREF（WHOQOL-BREF）, St. George＇s respiratory questionnaire（SGRQ）, self rating anxiety scale（SAS）, self rating depression scale（SDS） and the self-designed pneumoconiosis questionnaires were used to collect data by face-toface questionnaire survey. The database was established by software Epidate3.1, and the obtained data were statistically analyzed by software SPSS 18.0.[ Results] 1The subjective feelings of the 205 CWP patients about survival quality and health status were poor. The scores of CWP patients in the four areas including physiology, psychology, social relations and environment were significantly lower than the national norm（P〈0.01）, the scores of every field were ranked from high to low in the following order：society（12.21 ±2.26）, psychology（11.59 ±1.38）, physiology（11.22 ±2.03） and environment（10.68 ±1.49）. 2 The SGRQ scores of actual measurement in different dimensions of CWP patients could be ranked from high to low as movement limitation（77.04 ±17.81）,breath symptom（67.47±19.44）, the total score（64.86±15.07） and disease influence（64.60±17.96）.The SGRQ scores of actual measurement in every dimension of CWP patients with anxiety, depression were significantly higher than those patients without anxiety, depression（P〈0.01）. 3 The Pearson correlation analysis showed that the significant negative correlation could be found between the scores in each field of WHOQOL-BREF and the scores in each dimension of SGRQ（P〈0.05）, and the significant positive correlation could be found between the scores of SAS, SDS and the scores in each dimension of SGRQ（ P〈0.01）.[ Conclusion] The life quality of patients with CWP is poor. High correlation can be found among WHOQOL

关 键 词：煤工尘肺 St.George's呼吸问卷 生存质量 

分 类 号：R135.2[医药卫生—劳动卫生]