淮安市畸残麻风治愈存活者康复需求及影响因素分析  

Analysis of rehabilitation need and influencing factors among cured leprosy survivors with deformity and disability in Huai’an City

作　　者：冯地忠 何伏华 蒋锋 张崇华 张兆辉[2] 丁守华[2] FENG Dizhong;HE Fuhua;JIANG Feng;ZHANG Chonghua;ZHANG Zhaohui;DING Shouhua(Department of Chronic Infectious Disease Prevention and Control,JinhuCounty Center for Disease Control and Prevention,Huai'an,Jiangsu 211600,China;Department of Chronic Infectious Disease Prevention and Control,Huai'an Center for Disease Control and Prevention,Huai'an,Jiangsu 232001,China)

机构地区：[1]淮安市金湖县疾病预防控制中心慢传科,江苏淮安211600 [2]淮安市疾病预防控制中心慢传科,江苏淮安232001

出　　处：《安徽医药》2021年第3期582-585,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的分析畸残麻风治愈存活者的康复需求及影响因素,为制定预防措施提供科学依据。方法利用全国麻风病管理信息系统,对淮安市新中国成立以来至2017年12月31日登记管理的全部麻风治愈存活者进行调查,描述病人康复需求相关情况,采用logistic回归模型分析康复需求影响因素。结果淮安市现有麻风治愈存活者877例,肉眼可见2级畸残率为52.68%(462/877)。畸残麻风治愈存活者康复需求率为34.85%,其中男女比为2.55∶1。多因素logistic回归分析结果表明,与未患慢性病和无残疾证病人相比,患慢性病(OR=1.745,95%CI:1.099~2.769)、有残疾证(OR=2.447,95%CI:1.497~4.000)病人的康复需求风险更高。生活完全自理(OR=0.314,95%CI:0.136~0.724)、劳动能力未丧失(OR=0.565,95%CI:0.319~0.999)和上肢畸残(OR=0.287,95%CI:0.145~0.567)病人康复需求风险分别低于生活部分自理、劳动能力完全丧失和下肢畸残病人。结论淮安市伴有畸残的麻风治愈存活者康复需求率高,生活能力、劳动能力、慢性病、畸残部位、是否持有残疾证是畸残麻风治愈存活者康复需求的影响因素。Objective To analyze the rehabilitation needs and influencing factors of leprosy survivors with Deformity and disability,and provide a scientific basis for developing preventive measures.Methods Using the National Leprosy management information sys⁃tem,to investigate all cured leprosy survivors registered and managed in Huai'an City from the founding of the people's Republic of China to December 31,2017.The related situation of patients rehabilitation needs was described,and the influencing factors of rehabil⁃itation needs were analyzed by logistic regression model.Results There were 877 leprosy survivors in Huai'an City,Visible to the na⁃ked eye,the rate of grade 2 deformity was 52.68%(462/877).The rehabilitation demand rate of the survivors was 34.85%,and the ratio of male to female was 2.55∶1.Multivariate logistic regression analysis showed that patients with chronic diseases(OR=1.745,95%CI:1.099-2.769)and disability certificates(OR=2.447,95%CI:1.497-4.000)had a higher risk of rehabilitation demand than those without chronic diseases and non-disability certificates.The rehabilitation needs risk of the patients with complete self-help ability(OR=0.314,95%CI:0.136-0.724),no loss work ability(OR=0.565,95%CI:0.319-0.999)and upper limb disability(OR=0.287,95%CI:0.145-0.567)were lower than that of the patients with partial self-help of life,permanent loss work ability and lower limb disability.Conclu⁃sion The rehabilitation demand rate of cured leprosy survivors with deformity anddisabilities in Huai'an City is high.Viability,work ability,chronic disease,deformity location and the possession of disability certificates are the influencing factors for the rehabilitation demand of cured leprosy survivors with disabilities.

关 键 词：麻风 幸存患者 麻风治愈存活者 康复 影响因素 

分 类 号：R755[医药卫生—皮肤病学与性病学]