Milanowska Joanna, Mackiewicz Barbara, Węgorowski Paweł, Milanowski Janusz, Milanowski Piotr, Makara-Studzińska Marta
Department of Applied Psychology, Medical University of Lublin, Poland.
Chair and Department of Pneumology, Oncology and Allergology, Medical University of Lublin, Poland.
Ann Agric Environ Med. 2017 Jun 9;24(2):283-287. doi: 10.26444/aaem/74651.
COPD is a medical state characterized by chronically poor airflow, and typically worsens over time. Farmers have an increased risk of COPD because of being exposed to ammonia, hydrogen sulfide, inorganic dust, and organic dust. The quality of life of the ill depends on biomedical as well as psychosocial factors, the impact of which has not been a frequent subject of studies among COPD patients. The aim of the study was to indicate the factors that have negative and positive influence on the quality of life of farmers suffering from COPD. The study was conducted among 84 farmers treated for COPD in the Department of Pneumology, Oncology and Allergology of the Medical University in Lublin, Poland. The differences between the farmers concerned: severity of the disease, level of education and income, frequency of smoking tobacco and drinking alcohol, kinds of support they receive from their families, and the level of depression and anxiety experienced by the patients. The study revealed that most patients suffered from depressive and anxiety disorders, and the level of depression higher among the patients who smoked more. Lack of family support had significant influence on exacerbation of the patient's depressive and anxiety symptoms. Patients who had recently experienced a critical situation presented with more severe COPD symptoms, lower quality of life and a higher level of depression. Higher income of the patients had positive influence on their quality of life. Farmers addicted to alcohol suffered from a higher level of anxiety.
慢性阻塞性肺疾病（COPD）是一种以长期气流受限为特征的医学状态，通常会随着时间的推移而恶化。由于接触氨、硫化氢、无机粉尘和有机粉尘，农民患COPD的风险增加。患者的生活质量取决于生物医学因素以及社会心理因素，而这些因素的影响在COPD患者中并非经常被研究。该研究的目的是指出对患有COPD的农民生活质量有负面和正面影响的因素。该研究在波兰卢布林医科大学肺病学、肿瘤学和过敏学系接受COPD治疗的84名农民中进行。所涉及的农民之间存在差异：疾病严重程度、教育程度和收入水平、吸烟和饮酒频率、他们从家庭获得的支持种类，以及患者所经历的抑郁和焦虑程度。研究表明，大多数患者患有抑郁和焦虑症，吸烟较多的患者抑郁程度更高。缺乏家庭支持对患者抑郁和焦虑症状的加重有显著影响。最近经历过危急情况的患者表现出更严重的COPD症状、更低的生活质量和更高的抑郁水平。患者较高的收入对其生活质量有积极影响。酗酒的农民焦虑程度更高。
