西双版纳州肺结核患者生命质量及其影响因素分析

Study on the life quality of tuberculosis patients in Xishuangbanna and its influencing factors

目的通过评价西双版纳州所辖的景洪市、勐海县和勐腊县2018年登记患肺结核人群的生命质量状况,探究影响肺结核患者生命质量的因素,为该地区肺结核综合防治措施的制定提供参考依据。方法使用自行开发设计的定量调查表,对2018-01-01-2018-12-31西双版纳州结核病网络专报系统登记的1030例肺结核患者生命质量现状进行调查,采用t检验、方差分析和多重线性回归等方法进行统计分析。结果本次共调查病例1030例,其中男性占66.89%,女性占33.11%;民族主要为汉族,占32.72%;职业为农民占68.35%;文化程度为初中及以下占84.18%;已婚占81.65%。1030名患者中,生命质量状况得分为45~120分,平均得分为(85.13±13.79)分。单因素分析结果显示,不同年龄段(F=28.462,P<0.001)、地区(F=760.696,P<0.001)、民族(t=5.349,P<0.001)、职业(t=-6.938,P<0.001)、文化程度(F=59.952,P<0.001)、家庭经济状况(F=105.009,P<0.001)、居住房屋类型(F=30.699,P<0.001)、吸烟情况(t=-6.875,P<0.001)、饮酒情况(t=-10.792,P<0.001)及是否患慢性病(t=-8.269,P<0.001)10个方面患者生命质量差异有统计学意义。多因素分析结果显示,年龄(t=-2.670,P=0.008)、地区(t=-9.601,P<0.001)及吸烟情况(t=-2.651,P=0.008)与患者生命质量总得分呈负相关,职业(t=2.560,P=0.011)、文化程度(t=3.342,P=0.001)、家庭经济状况(t=6.565,P<0.001)、饮酒情况(t=8.175,P<0.001)及是否患慢性病(t=4.185,P<0.001)与患者生命质量总得分呈正相关。结论西双版纳州肺结核患者生命质量普遍不高,且受多方面因素的影响。

Objective By evaluating the life quality of tuberculosis(TB)patients registered in Jinghong,Menghai and Mengla under the jurisdiction of Xishuangbanna prefecture in 2018,the factors affecting the life quality of TB patients were explored,so as to provide reference for the comprehensive prevention and treatment measures of TB in this area.Methods A self-developed and designed quantitative questionnaire was used to investigate the status of quality of life of 1030 tuberculosis patients who registered in the tuberculosis Network system of Xishuangbanna from January 1,2018 to December 31,2018.T-test,analysis of variance and multiple linear regression were used for statistical analysis.Results A total of 1030 cases were investigated,among which 66.89%were males and 33.11%were females.The majority ethnic group was han,accounting for 32.72%.68.35%of the respondents were farmers,84.18%were junior middle school students or below,and 81.65%were married.Among the 1030 patients,the lowest score was 45,the highest score was 120,and the average score was(85.13±13.79).The single-factor analysis showed that the differences in life quality of tuberculosis patients were statistically significant in 10 aspects:different age groups(F=28.462,P<0.001),area(F=760.696,P<0.001),nation(t=5.349,P<0.001),occupations(t=-6.938,P<0.001),educational levels(F=59.952,P<0.001),family economic conditions(F=105.009,P<0.001),type of housing(F=30.699,P<0.001),smoking(t=-6.875,P<0.001),drinking(t=-10.792,P<0.001),and whether they had chronic diseases(t=-8.269,P<0.001).Multivariate analysis showed that age(t=-2.670,P=0.008),area(t=-9.601,P<0.001)and smoking(t=-2.651,P=0.008)were negatively correlated with the quality of life of tuberculosis patients,while occupations(t=2.560,P=0.011),education level(t=3.342,P=0.001),family economic conditions(t=6.565,P<0.001),drinking(t=8.175,P<0.001)and whether chronic diseases(t=4.185,P<0.001)were positively correlated with the quality of life of tuberculosis patients.Conclusion The life quality of tuberculosis patients in Xishuangbanna is not high,and is affected by many factors.