PM2.5暴露对尘肺工人心理健康的影响  

Influence of PM2.5 exposure on mental health in workers with pneumoconiosis

作　　者：王静 郑丽颖[2] 耿贺梅[3] 刘运秋[2] WANG Jing;ZHENG Li-ying;GENG He-mei;LIU Yun-qiu(Department of Neurology,Tangshan Hongci Hospital,Tangshan Hebei,063000,China;Department of Respiratory Medicine,Kailuan General Hospital,Tangshan Hebei,063000,China;Department of Infection Management,Kailuan General Hospital,Tangshan Hebei,063000,China)

机构地区：[1]唐山弘慈医院神经内科,河北唐山063000 [2]开滦总医院呼吸内科,河北唐山063000 [3]开滦总医院感染管理科,河北唐山063000

出　　处：《职业与健康》2020年第2期154-156,160,共4页Occupation and Health

基　　金：河北省医学科学研究重点课题计划(20171446)。

摘　　要：目的了解PM2.5暴露对尘肺工人心理健康的影响。方法选取2015年1月-2017年12月唐山弘慈医院诊治的尘肺工人113例,根据PM2.5暴露情况分为两组,PM2.5暴露组67例,非PM2.5暴露组46例,采用症状自评量表(SCL-90)与Meclean’s工作紧张问卷调查,比较两组的职业资料,并进行相关性分析。结果 PM2.5暴露组SCL-90得分[躯体化得分(1.86±0.57)、抑郁得分(1.65±0.27)、强迫得分(1.72±0.34)、焦虑得分(1.61±0.20)、精神病性得分(1.49±0.17)、人际关系敏感得分(1.51±0.23)、敌对得分(1.56±0.19)、偏执得分(1.64±0.25)、恐怖得分(1.37±0.16)]、Meclean’s工作紧张问卷得分[职业紧张因素得分(31.85±4.02)]均高于非PM2.5暴露组(1.43±0.29、1.30±0.14、1.28±0.16、1.28±0.15、1.30±0.08、1.15±0.12、1.24±0.18、1.36±0.27、1.09±0.14、26.57±3.28),PM2.5暴露组每日户外活动时间[(3.26±0.53)h]多于非暴露组[(1.87±0.41)h],差异均有统计学意义(均P<0.05)。尘肺工人每日户外活动时间与SCL-90(躯体化、抑郁、强迫、焦虑、精神病性、人际关系敏感、敌对、偏执、恐怖)评分呈显著正相关性(r=0.312、0.305、0.298、0.327、0.264、0.271、0.339、0.276、0.331,均P<0.05)。结论 PM2.5暴露对尘肺工人心理健康有一定影响,可能与长时间暴露有关。PM2.5长期接触可能会加重尘肺工人的职业紧张感。Objective To investigate influence of PM2.5 exposure on mental health in workers with pneumoconiosis. Methods A total of113 pneumoconiosis workers who were treated in Tangshan Hongci Hospital from January 2015 to December 2017 were selected and divided into two groups according to PM2.5 exposure,including 67 cases in PM2.5 exposure group and 46 cases in non-PM2.5 exposure group. Both symptom checklist 90(SCL-90) and Meclean’s job stress questionnaire were used in the investigation. The occupational data were compared between two groups,while correlation was analyzed. Results The scores of SCL-90(somatization of 1.86±0.57,depression of 1.65±0.27,compulsion of 1.72±0.34,anxiety of 1.61±0.20,psychosis of 1.49±0.17,interpersonal sensitivity of 1.51±0.23,hostility of 1.56±0.19,paranoia of 1.64±0.25,terror of 1.37±0.16)and Meclean’s work stress questionnaire(occupational stress factor of 31.85±4.02) in PM2.55 exposure group were higher than those in non-PM2. 5 exposure group(1.43±0.29,1.30±0.14,1.28±0.16,1.28±0.15,1.30±0.08,1.15±0.12,1.24±0.18,1.36±0.27,1.09±0.14,26.57±3.28). The daily outdoor activity time[(3.26±0.53)h] in PM2.5 exposure group was longer than that in non-PM2.5 exposure group[(1.87±0.41)h]. The differences were statistically significant(all P<0.05). Daily outdoor activity time was positively correlated with the scores of SCL-90(somatization,depression,compulsion,anxiety,psychosis,interpersonal sensitivity,host ility,paranoia,terror) in workers with pneumoconiosis(r=0.312,0.305,0.298,0.327,0.264,0.271,0.339,0.276,0.331,all P<0.05). Conclusion PM2.5 exposure has influence on mental health of workers with pneumoconiosis in a certain,which may be related to long-term exposure,and it may aggravate occupational stress of pneumoconiosis workers.

关 键 词：PM2.5暴露 尘肺工人 心理健康 影响 相关性 

分 类 号：R135.2[医药卫生—劳动卫生]