武汉市矽肺病患者的生存质量

Study on The Quality of Life of Silicosis Patients in Wuhan CIty

目的了解武汉市矽肺病患者的生存质量现况及其影响因素。方法以武汉市职业病防治院确诊的矽肺病患者为研究对象,采用世界卫生组织生存质量测定量表简表中文版(WHOQOL-BREF)评价其生存质量。同时,通过随机抽样的方法抽取武汉市汽轮发动机厂100名健康工人作为参照组,并且以全国一般水平作为更普通的参照。通过拟合多元线性回归模型来分析各因素与量表4个领域得分的关系。结果调查中矽肺病患者43例,健康工人100例,各人群生存质量得分及其影响因素有所不同。健康工人生理、心理、社会关系和环境4个领域的得分(x珋±s)依次为(13.68±1.54)、(13.14±2.02)、(14.35±2.43)和(10.85±2.17)分,均高于矽肺病患者;生理、心理和环境领域得分均低于全国一般水平,社会关系领域则高于全国一般水平。矽肺病患者生理、心理、社会关系和环境4个领域的得分(x珋±s)依次为(9.8l±2.25)、(10.40±3.27)、(12.34±2.24)和(8.80±2.45)分,均低于全国一般水平,并且均低于健康工人。矽肺病患者生存质量影响因素包括性别、年龄、个人收入、工龄、既往病史、家庭摩擦对生活的影响程度、食欲情况。结论相对于全国一般水平来说,矽肺病患者和健康工人的生存质量较差,影响矽肺病患者生存质量的因素是多方面的,疾病是其中一个重要的因素。

[Objective]To understand the current conditions of the silicosis patients＇ quality of life（QOL） and indentify the influencing factors. [Methods]The silicosis patients diagnosed in Wuhan Occupational Disease Prevention Hospital were enrolled as study object.Their QOL was evaluated by WHOQOL-BREF（Chinese Version）.Meanwhile,100 health workers from Wuhan turbine engine plant were selected by the random sampling method as reference group.The average QOL level of the nation was used as reference.A multiple linear regression model was used to analyze the relationship between the factors and the scores of the 4 domains. [Results]A total of 43 silicosis patients and 100 healthy workers were investigated.There were differences about 2 groups＇ QOL scores and their influencing factors.The physical,psychological,social and environmental scores of the health workers were 13.68±1.54,13.14±2.02,14.35±2.43,10.85±2.17,which were all higher than the scores of silicosis patients.The physical,psychological and environmental scores of the health workers were higher than the average levels of the nation,but the social score was reverse.The physical,psychological,social and environmental scores（x-±s） of the silicosis patients were 9.81±2.25,10.40±3.27,12.34±2.24,8.80±2.45,which were all lower than the average levels of the nation and the scores of health workers.The influencing factors of the silicosis patients＇ QOL were gender,age,personal income,service length,medical history,the impact of family friction,appetite. [Conclusion]Compared with the average QOL level of the nation,the silicosis patients＇ QOL is poor.There are many factors influencing the QOL of the silicosis patients and the disease is one of the important factors.