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云南省昭通市农民工与国有企业尘肺病患者生活质量的对比研究

[A comparative study on quality of life of pneumoconiosis patients between from rural migrant workers and from a state-owned enterprise in Zhaotong City Yunnan Province].

作者信息

Fan L B, Gao B, Mu Y Z, Mao Y, Lai C M

机构信息

Kunming Medical University, Kunming 650500, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Jul 20;39(7):515-519. doi: 10.3760/cma.j.cn121094-20201009-00563.

Abstract

To compare the quality of life of pneumoconiosis patients between from rural migrant workers and from a state-owned enterprises in Zhaotong City Yunnan Province, and to explore the factors influencing quality of life of pneumoconiosis patients. In August 2017, 83 patients from rural migrant workers in Zhaotong City Yunnan Province and 126 pneumoconiosis patients from a state-owned coal mining enterprises were selected as target population. World Health Organization on Quality of Life Brief Scale (WHOQOL-BREF) and self-designed questionnaires were used to collect information from two groups. The demographic information, health status and quality of life of two groups were compared. The factors influencing quality of life were analyzed by multi-liner regression analyses. Average annual household income of rural migrant workers group was lower than that of state-owned enterprises group, and the average annual household expenditure for health of rural migrant workers group was higher than that of state-owned enterprises group (<0.01) . Overall score of WHOQOL-BREF and scores for four domains including physiology, psychology, social relationship and environment of rural migrant workers group were lower than the scores of patients from state-owned enterprises group (<0.01) . The result of multi-liner regression analysis showed that average annual household income (=0.00015, 95%: 0.00010-0.00020) , being rural migrant workers (=-5.904, 95%: -8.436--3.372) , better action ability (=2.595, 95%: 0.706-4.483) and have complication (=-2.542, 95%: -4.698--0.387) were factors influencing overall score of WHOQOL-BREF of pneumoconiosis patients (<0.05) . The quality of life of pneumoconiosis patients from rural migrant workers is lower than that from state-owned enterprises. And the average annual household income, action ability and having complication or not are factors influencing the quality of life of pneumoconiosis patients.

摘要

比较云南省昭通市农民工尘肺病患者与国有企业尘肺病患者的生活质量,并探讨影响尘肺病患者生活质量的因素。2017年8月,选取云南省昭通市83名农民工尘肺病患者和126名国有煤矿企业尘肺病患者作为研究对象。采用世界卫生组织生存质量简表(WHOQOL-BREF)和自行设计的问卷收集两组患者的资料。比较两组患者的人口学信息、健康状况和生活质量。采用多元线性回归分析影响生活质量的因素。农民工组家庭年均收入低于国有企业组,农民工组家庭年均健康支出高于国有企业组(P<0.01)。农民工组WHOQOL-BREF总得分及生理、心理、社会关系和环境四个维度得分均低于国有企业组患者(P<0.01)。多元线性回归分析结果显示,家庭年均收入(β=0.00015,95%CI:0.00010-0.00020)、农民工身份(β=-5.904,95%CI:-8.436--3.372)、行动能力较好(β=2.595,95%CI:0.706-4.483)和有无并发症(β=-2.542,95%CI:-4.698--0.387)是影响尘肺病患者WHOQOL-BREF总得分的因素(P<0.05)。农民工尘肺病患者的生活质量低于国有企业尘肺病患者。家庭年均收入、行动能力及有无并发症是影响尘肺病患者生活质量的因素。

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