职业性哮喘诊断 2 年后的生活质量、心理和成本结果。
Quality-of-life, psychological, and cost outcomes 2 years after diagnosis of occupational asthma.
机构信息
Department of Chest Medicine, Sacré-Coeur Hospital and Université de Montréal, Montreal, Canada.
出版信息
J Occup Environ Med. 2011 Mar;53(3):231-8. doi: 10.1097/JOM.0b013e31820d1338.
OBJECTIVE
To examine the association between clinical and socioeconomic variables and their influence on psychological and cost outcomes in patients with occupational asthma (OA).
METHODS
Longitudinal study of 60 subjects who claimed compensation for OA in Quebec. Besides clinical markers of asthma, quality of life (QOL), psychological distress (PD) measures, and an instrument to diagnose mental disorders were used.
RESULTS
The QOL and PD parameters had moderate correlations with clinical markers of OA. Asthma severity, employment, marital status, income, and the length of employment with the employer showed the strongest associations with QOL and PD. More-impaired QOL was associated with higher direct costs for compensation.
CONCLUSION
Impaired QOL and PD are frequent among subjects with OA receiving compensation and are associated with clinical markers of OA and socioeconomic factors.
目的
探讨职业性哮喘（OA）患者的临床和社会经济变量与其心理和经济结局之间的关系。
方法
对魁北克省因 OA 申请赔偿的 60 名患者进行了纵向研究。除了哮喘的临床指标外，还使用了生活质量（QOL）、心理困扰（PD）指标和用于诊断精神障碍的工具。
结果
QOL 和 PD 参数与 OA 的临床指标有中度相关性。哮喘严重程度、就业状况、婚姻状况、收入和与雇主的就业年限与 QOL 和 PD 有最强的关联。QOL 受损越严重，赔偿的直接费用越高。
结论
接受赔偿的 OA 患者中，QOL 和 PD 受损较为常见，且与 OA 的临床指标和社会经济因素有关。
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