尘肺病患者生活质量及其影响因素研究  

Influencing factors and quality of life in patients with occupational pneumoconiosis

作　　者：汤春宜[1,2] 邱新香[2] 周宏珍[1] 巫带花[2] 甘雯珍[2] 

机构地区：[1]南方医科大学南方医院,广东广州510515 [2]广东省职业病防治院,510300

出　　处：《中国职业医学》2016年第3期292-295,共4页China Occupational Medicine

基　　金：国家科技支撑计划项目(2014BAI12B01);国家临床重点专科建设项目(2011-09);广东省科技计划项目(2013B060500047);广东省医学科研究基金(A2012066;A2014075)

摘　　要：目的分析尘肺病患者的生活质量,探讨社会人口学资料和疾病相关资料对其生活质量的影响。方法采用便利抽样方法,以144例男性尘肺病患者为研究对象,采用《圣乔治呼吸问卷》(SGRQ)进行问卷调查,采用逐步回归分析法分析尘肺病患者生活质量的影响因素。结果尘肺病患者的SGRQ总分为(60.0±18.0)分,呼吸症状维度得分为(61.2±19.7)分,活动受限维度得分为(64.0±21.5)分,疾病影响维度得分为(57.7±19.5)分。有52.08%(75/144)的尘肺病患者生活质量处于中下水平。尘肺期别与SGRQ总分及其3个维度得分均呈正相关(P<0.01);诊断年限与呼吸症状维度得分呈负相关(P<0.05);文化程度与活动受限维度得分呈负相关(P<0.01);肺功能情况与活动受限维度得分呈正相关(P<0.05)。结论尘肺病患者的生活质量处于中下水平;尘肺期别、诊断年限、文化程度和肺功能是其生活质量的重要影响因素。Objective To investigate the current status of quality of life（ QOL） in patients with occupational pneumoconiosis,and explore the effects of the social demographic data and disease-related information on their QOL.Methods By the convenience sampling method,144 male patients with occupational pneumoconiosis were selected. The St. George＇s Respiratory Questionnaire（ SGRQ） was used in the study and the stepwise regression analysis method was used to analyze the influencing factors of QOL in these patients. Results The SGRQ total score was（ 60. 0 ± 18. 0）,respiratory symptom dimension score was（ 61. 2 ± 19. 7）,limitation of motion dimension score was（ 64. 0 ± 21. 5） and the disease influence dimension score was（ 57. 7 ± 19. 5）. The QOL of 52. 08%（ 75 /144） of the patients were below the average level. The stage of pneumoconiosis was positively correlated with SGRQ total score and the above three dimension scores（ P〈0. 01）. The length of disease was negatively correlated with respiratory symptom dimension score（ P〈0. 05）;the educational level was negatively correlated with limitation of motion dimension score（ P〈0. 01）; the lung function was positively correlated with limitation of motion dimension score（ P〈0. 05）. Conclusion The QOL of patients with pneumoconiosis was below the average level. The stage of pneumoconiosis,length of diagnosis,the educational level and lung function are the important factors affecting the QOL of these patients.

关 键 词：尘肺病 生活质量 圣乔治呼吸问卷 问卷调查 影响因素 

分 类 号：R135.2[医药卫生—劳动卫生]