摘要
目的工伤人群主要是青壮年劳动力,是家庭经济支柱,因工伤原因导致脊髓损伤给这类人群及其家庭带来严重影响。本研究对工伤导致的脊髓损伤患者慢性期生存质量进行调查,并探讨脊髓损伤工伤患者生存质量的社会学、人口学、医学等因素,以寻找改善这类人群生存质量的突破口。方法按照纳入排除标准,采用非随机抽样,通过面谈或电话访谈的形式对79例工伤脊髓损伤患者进行问卷调查,填写一般情况调查表和健康相关生命质量问卷36简表(SF-36)。结果单因素分析结果显示,不同受伤年数、损伤部位、损伤类型和并发症情况下调查对象生理维度及生理内容综合测量得分差异有统计学意义(P<0.05),不同家庭供养比的调查对象心理维度得分差异有统计学意义(P<0.05);婚姻状况、调查时年龄不同的调查对象在生理和心理维度部分指标及综合测量差异有统计学意义(P<0.05)。多因素分析结果显示,对生理内容综合测量有影响的因素主要为性别、并发症、婚姻状况;而对心理内容综合测量有影响的因素主要为教育情况、家庭人均收入、损伤部位、婚姻状况。结论并发症、婚姻状况、教育程度和家庭经济负担等医学、社会、经济因素对慢性期脊髓损伤工伤患者生存质量有影响,提高脊髓损伤工伤患者慢性期生存质量,不仅仅要为他们提供适宜的医疗服务,还需要针对这类特征提供有针对性的支持和干预,同时做好长期健康管理,控制并发症。
Objective Most of work injured workers were young adult labors,which were the main economics supports for their families.Spinal cord injury （SCI） after occupational trauma causes the disaster affections for patients and their families.In the study, we aimed to interview Health-related Quality of life （HRQOL） in patients with Spinal cord injury after occupational trauma in chronic phase,and to explore the Influencing factors for HRQOL in the area of sociology,demography and medical＇science,in order to find the way of improving their HRQOL. Methods Non random sampling basing on the inclusion and exclusion criteria,79 objects by face to face or telephone were administered questionnaires including factors in general demography and economics and Short Form-36 （SF-36）. Results There Were significant differences in the physical dimensions and physical component score （PCS） among length of injury, injury sections,levels of injury and complications （P 〈 0.05）.There were significant differences in the mental dimensions caused by support burden of family.And marital status, age affect the scores both in physical and mental dimensions and the component scores（P 〈 0.05）.The main influencing factors for PCS were gender,complications,marital status,and the main influencing factors for MCS were education,family average income,injury sections,and marital status. Conclusion Improving HRQOL in patients with Spinal cord injury after occupational trauma in chronic phase,it is important to think highly of the individual factors including marital status,types of employers,education and family economic burden,as well as medical services like long term care.
作者
陈叙
杨晓珊
邓小倩
余侠
饶平
周攻谋
黄远秋
罗筱媛
欧阳亚涛
CHEN Xu YANG Xiaoshan DENG Xiaoqian YU Xi RAO Ping ZHOU Gongmou HUANG Yuanqiu LUO Xiaoyuan OUYANG Yatao(Guangdong Industrial Injury Rehabilitation Hospital,Guangzhou 510440,China Guangdong Labor Ability Appraisal Center, Guangzhou 510440,China)
出处
《中国医药科学》
2017年第9期9-15,共7页
China Medicine And Pharmacy
基金
广东省医学科研基金项目(B2014336)
关键词
工伤
脊髓损伤
生存质量
影响因素
Work injury
Spinal cord injury
Quality of life
Influencing factors
