湖南省农民工尘肺病患者健康相关生存质量分析  

Analysis on health-related quality of life of migrant workers with pneumoconiosis in Hunan Province

作　　者：余志林 刘晓丽 余丹 杨乐华 肖雄斌 詹仲春 戴伟荣 李莉 YU Zhilin;LIU Xiaoli;YU Dan;YANG Lehua;XIAO Xiongbin;ZHAN Zhongchun;DAI Weirong;LI Li(Hunan Prevention and Treatment Institute for Occupational Diseases,Changsha,Hunan 410007,China)

机构地区：[1]湖南省职业病防治院,湖南长沙410007

出　　处：《中国职业医学》2023年第3期301-304,311,共5页China Occupational Medicine

基　　金：湖南省卫生健康委员会科研立项课题(202212015567)。

摘　　要：目的了解湖南省尘肺病农民工中接受基本医疗救治救助患者的健康相关生存质量(HRQOL)状况。方法采用分层随机抽样方法,选择613名在湖南省接受基本医疗救治救助的农民工尘肺病患者为研究对象,采用《欧洲五维健康量表》(EQ-5D)对其HRQOL进行调查。结果研究对象EQ-5D的健康描述系统5个维度异常率由高到低依次为:日常活动能力、行动能力、疼痛/不舒服、焦虑/抑郁和自我照顾能力,异常率分别为50.9%、46.8%、41.1%、21.0%和14.5%。EQ-5D的视觉模拟评分法(VAS)得分为(63.5±18.6)分。尘肺病叁期患者在行动能力、日常活动能力和疼痛/不舒服维度的异常率均高于尘肺病壹期和贰期患者(P值均<0.02);尘肺病贰期和叁期患者在焦虑/抑郁维度的异常率均高于壹期患者(P值均<0.02)。尘肺病合并并发症患者行动能力、自我照顾能力、疼痛/不舒服维度的异常率均高于单纯尘肺病患者和可行肺灌洗尘肺病患者(P值均<0.02),日常活动能力和焦虑/抑郁维度的异常率高于可行肺灌洗尘肺病患者(P值均<0.02)。单纯尘肺病患者焦虑/抑郁维度的异常率高于可行肺灌洗尘肺病患者(P<0.02)。尘肺病叁期患者平均VAS得分分别低于壹期和贰期患者(P值均<0.05);单纯尘肺病和尘肺病合并并发症患者平均VAS得分均低于可行肺灌洗尘肺病患者(P值均<0.05)。结论农民工尘肺病患者HRQOL仍有待提升;尤以尘肺病叁期患者和尘肺病合并并发症的患者HRQOL较差。建议进一步优化政策,提高尘肺病叁期、有并发症等急危重症患者的住院费用限额标准,提升其HRQOL。Objective To understand the health-related quality of life(HRQOL)of migrant workers with pneumoconiosis who received basic medical treatment in Hunan Province.Methods A total of 613 migrant workers with pneumoconiosis who received basic medical treatment and assistance in Hunan Province was selected as the study subjects using stratified random sampling method.The European Quality of Life-5 Dimensions(EQ-5D)questionnaire was used to assess their HRQOL.Results The abnormality of the five dimensions of the EQ-5D health description system,from high to low,were as follows:daily activities,mobility,pain/discomfort,anxiety/depression,and self-care,with the abnormal rates of 50.9%,46.8%,41.1%,21.0%,and 14.5%,respectively.The visual analogue scale(VAS)score of EQ-5D was(63.5±18.6)points.Patients with stageⅢpneumoconiosis had high abnormality in mobility,daily activities,and pain/discomfort compared with those with stageⅠandⅡdisease(all P<0.02).Patients in stageⅡandⅢof pneumoconiosis had higher incidence of anxiety/depression compared with those with stageⅠdisease(all P<0.02).Patients with complications in addition to pneumoconiosis had higher abnormality in mobility,self-care,and pain/discomfort compared to those with simple pneumoconiosis or those eligible for lung lavage treatment(all P<0.02).Patients with simple pneumoconiosis had a higher incidence of anxiety/depression compared with those eligible for lung lavage treatment(P<0.02).Patients with stageⅢpneumoconiosis had lower average VAS scores compared with stageⅠandⅡpatients(all P<0.02).Patients with simple pneumoconiosis or those with complications had lower average VAS scores compared with those eligible for lung lavage treatment(all P<0.05).Conclusion The HRQOL of pneumoconiosis patients among migrant workers needs improvement,especially for patients with stageⅢdisease and those with complications.This study indicates the need of optimizing policies,raising the hospitalization expense limit for critically ill patients with stageⅢpneumoconi

关 键 词：尘肺病 农民工 生存质量 基本医疗 救治 救助 

分 类 号：R135.2[医药卫生—劳动卫生]