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[农民工尘肺病患者生活质量及影响因素研究]

[Study on the quality of life and influencing factors of pneumoconiosis in migrant workers].

作者信息

Jing H, Cui P, Wang W X, Li J, Wang L, Bi B Q, Wu Y, Liu Y, Xun K L, Zhang F

机构信息

Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250002, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Sep 20;38(9):682-685. doi: 10.3760/cma.j.cn121094-20190807-00332.

Abstract

To investigate and understand the general situation and quality of life of migrant workers with pneumoconiosis, and analyze the influencing factors, so as to provide scientific basis for effective countermeasures to improve the quality of life of migrant workers with pneumoconiosis. In June 2019, 79 cases of migrant workers' pneumoconiosis diagnosed by Shandong Occupational Disease Hospital from March 2017 to August 2018 were selected as the study object by cluster random sampling method. Questionnaires and on-site visits were used to investigate the quality of life and its influencing factors. The questionnaire was administered by self-designed questionnaire and WHO quality of life questionnaire. The farmer's pneumoconiosis patients are generally lower in culture. High school or above is only 6.33% (5/79) . Their economic income is low. The monthly income of less than 1000 RMB is 49.37% (39/79) . The disease was heavy and pneumoconiosis was 58.23% (46/79) . Pneumoconiosis patients without systematic treatment accounted for 69.62% (55/79) . Only 11.39% of rural workers with pneumoconiosis can timely increase or decrease clothing and wear masks to avoid respiratory irritation. Pneumoconiosis patients who smoked accounted for 77.22% (61/79) . The quality of life of the pneumoconiosis patients in the physiological, psychological, social and environmental fields were (10.40±2.31) , (11.40±2.82) , (11.46±3.03) and (8.38±3.37) respectively. The influencing factors of quality of life were pneumoconiosis stage, education level, economic income and smoking (< 0.05) . The quality of life of migrant workers with pneumoconiosis is generally low. The main factors that affect the quality of life of patients are disease severity (pneumoconiosis stage) , education level, economic income and smoking.

摘要

为调查了解尘肺病农民工的一般状况及生活质量,并分析其影响因素,以便为提高尘肺病农民工生活质量的有效对策提供科学依据。2019年6月,采用整群随机抽样法选取2017年3月至2018年8月在山东省职业病医院确诊的79例尘肺病农民工作为研究对象。采用问卷调查和现场走访的方式,对其生活质量及其影响因素进行调查。问卷采用自行设计的问卷和世界卫生组织生活质量问卷。尘肺病农民患者文化程度普遍较低,高中及以上仅占6.33%(5/79)。其经济收入低,月收入低于1000元的占49.37%(39/79)。病情较重,尘肺病为58.23%(46/79)。未进行系统治疗的尘肺病患者占69.62%(55/79)。仅有11.39%的尘肺病农民工能适时增减衣物、佩戴口罩以避免呼吸道刺激。吸烟的尘肺病患者占77.22%(61/79)。尘肺病患者在生理、心理、社会和环境领域的生活质量分别为(10.40±2.31)、(11.40±2.82)、(11.46±3.03)和(8.38±3.37)。生活质量的影响因素为尘肺病分期、文化程度、经济收入和吸烟(P<0.05)。尘肺病农民工的生活质量普遍较低,影响患者生活质量的主要因素为疾病严重程度(尘肺病分期)、文化程度、经济收入和吸烟。

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