摘要
目的分析农民工尘肺病患者生存质量及其影响因素。方法采用典型抽样方法,以云南省昭通市2个村83例农民工尘肺病患者为尘肺组,以同村85名非尘肺病农民工为对照组。采用《生存质量测定量表简表》调查2组人群生存质量。结果与对照组比较,2015年尘肺组人群家庭年均收入降低(P<0.01),用于疾病治疗的家庭年均支出增加(P<0.01)。尘肺组人群生存质量总评分及其生理、心理、环境和社会4个领域的评分均低于对照组(P<0.01)。多重线性回归分析结果显示,尘肺组人群生存质量总分的影响因素为并发症、能否做家务,生理领域的影响因素为能否做家务,心理领域的影响因素为有无并发症、家庭年均收入,社会领域的影响因素为婚姻状况、能否做家务和文化程度,环境领域的影响因素为家庭年均收入、能否做家务。结论农民工尘肺病患者的生存质量较差,并发症、离异或丧偶降低了其生存质量,而文化程度较高、家庭年均收入越高及能做家务对其生存质量有较积极的促进作用。
Objective To analyze the quality of life(QOL)of peasant workers with pneumoconiosis and its main influencing factors.Methods A typical sampling method was used to select 83 peasant workers with pneumoconiosis in two villages in Zhaotong City,Yunnan Province as the pneumoconiosis group,and 85 non-pneumoconiosis peasant workers in the same village selected as the control group.The QOL of the two groups was investigated using the Quality of Life Measurement Scale.Results The average annual family income of pneumoconiosis group was much lower and average annual expenditure of the family for disease treatment increased in 2015(P<0.01)compared with the control group.The total score of QOL and its average scores in the physical,psychological,environmental and social fields of pneumoconiosis group were lower than that of the control group(P<0.01).The multiple stepwise regression analysis results showed significant factors related to all functional domain scores of QOL in the pneumoconiosis group.For the total score of QOL,complication and ability to do housework were the significant factors.In the physical domain of QOL,only doing housework was the significant factor.In the psychological domain of QOL,complications and average annual family income were the significant factors.Marital status,doing housework and educational level were the significant factors for the social domain of QOL.The significant factors for the environmental domain of QOL were average annual family income and doing housework.Conclusion The QOL of migrant workers with pneumoconiosis was poor.Complications,divorcement or widowhood reduced the quality of their lives.Higher education degree,higher average annual family income and higher ability to do housework played a positive role in promoting the QOL of peasant workers with pneumoconiosis.
作者
浦娟
范琳波
木云珍
毛勇
赖纯米
PU Juan;FAN Linbo;MU Yunzhen;MAO Yong;LAI Chunmi(Kunming Medical University,Kunming,Yunnan 650500,China)
出处
《中国职业医学》
CAS
北大核心
2019年第2期184-187,共4页
China Occupational Medicine
基金
云南省哲学社会科学规划项目(YB2017043)
云南公共卫生与疾病防控协同创新项目(2016YNPHXT12)
