攀枝花冬季阳光康养对外来慢性病患者病情及生活质量的影响  

Influence of disease condition and quality of life of migrant patients with chronic diseases by sunshine health rehabilitation in winter in Panzhihua

作　　者：蒲玉红[1] 廖洪秀[1] 李春霞[1] 王素芹[1] 魏雪雨 郭元[1] 孟双江 杨梅[1] 李井宾[1] PU Yu-hong, LIAO Hong-xiu, LI Chun-xia, WANG Su-qin, WEI Xue-yu, GUO Yuan, MENG Shuang-jiang, YANG Mei, LI Jing-bin(Department of Prevention and Treatment of Chronic Non-communicable ,Center for Disease Control and Prevention of Panzhihua, Panzhihua Sichuan, 617000, Chin)

机构地区：[1]攀枝花市疾病预防控制中心慢性非传染性疾病防治科,四川攀枝花617000

出　　处：《职业与健康》2018年第3期356-359,共4页Occupation and Health

摘　　要：目的了解攀枝花冬季阳光康养对外来慢性病患者的病情及生活质量的影响。方法采用随机整群抽样的方式,抽取2015年11月—2016年2月间在攀枝花过冬且居住时间>1个月的外来人员350名。使用中国人生活质量通用量表,采取自身前后对照的方式评价攀枝花冬季阳光康养对外来慢性病患者病情及生活质量的影响。结果调查对象中≥60岁占96.57%;慢性病患病率73.71%;男性患病率75.17%,女性患病率72.68%,不同性别调查对象慢性病患病率差异无统计学意义(χ~2=0.272,P>0.05);年龄越大慢性病患病率越高(χ~2=21.805,P<0.01)。在攀枝花冬季阳光康养1月后,99.23%慢性病患者自我感觉病情稳定或好转;患者来攀后1月生活质量自评量表总得分以及一般健康和生活质量、独立生活能力、生理功能、心理功能、生活质量变化得分均高于来攀前(P<0.05);慢性病患者与非慢性病患者比较所有6个维度得分、生活质量变化得分、量表总得分的差值差异均无统计学意义(P>0.05)。结论攀枝花冬季阳光康养可以提高外来慢性病患者生活质量,促进病情的稳定或缓解。[Objective] To understand the influence of disease condition and quality of life of migrant patients with chronic diseases by sunshine health rehabilitation in winter in Panzhihua. [Methods] A random cluster sampling was used to collect 350 migrant people who had been wintering over 1 month from November 2015 to February 2016 in Panzhihua. By using the Chinese General Quality of Life Instrument（35 Items Quality of Life Questionnaire）, a self-control study was conducted to evaluate the influence of sunshine health rehabilitation in winter in Panzhihua. [Results] The respondents over 60 years old accounted for 96.57%, with the prevalence rate of chronic diseases was 73.71%. The prevalence rate of males and females was 75.17% and 72.68% respectively, and the difference was not statistically significant（χ~2=0.272,P 0.05）. The prevalence rate of chronic diseases increased with age（χ~2=21.805,P 0.05）. 99.23% chronic diseases patients felt stable or improved after living in Panzhihua for 1 month in winter. After living in Panzhihua for 1 months,the total score of quality of life and the score of general health and quality of life, independent living ability, physical function,psychological function and changes in quality of life were higher than those before going to Panzhihua（P 0.05）. There were no statistically significant differences in scores of the 6 dimensions, score of changes in quality of life and the total score of quality of life between patients and non-patients（P〈0.05）.[Conclusion] The sunshine health rehabilitation in winter in Panzhihua can improve the quality of life of migrant patients with chronic diseases and promote the stability or remission of the disease.

关 键 词：阳光康养 慢性病 外来患者 生活质量 

分 类 号：R181.31[医药卫生—流行病学]