云南省昭通市农民工与某国有企业尘肺病患者生命质量比较研究

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

目的比较云南省昭通市农民工和某国有企业尘肺病患者生命质量,并分析尘肺病患者生命质量的影响因素。方法于2017年8月,选取83例云南省昭通市农民工尘肺病患者和126例某国有煤矿企业尘肺病患者为调查对象,采用自编问卷和《世界卫生组织生命质量测定量表简表(WHOQOL-BREF)》进行调查,分析两组患者的一般情况和生命质量,并采用多重线性回归分析尘肺病患者生命质量的影响因素。结果农民工组患者家均年收入明显低于国有企业组,疾病治疗支出高于国有企业组(P<0.01)。农民工组患者WHOQOL-BREF生理、心理、社会关系和环境4个领域的评分和总分均低于国有企业组(P<0.01);多重线性回归分析显示,家均年收入(b=0.00015,95%CI:0.00010~0.00020)、农民工(b=-5.904,95%CI:-8.436~-3.372)、行动能力好(b=2.595,95%CI:0.706~4.483)和有并发症(b=-2.542,95%CI:-4.698~-0.387)是尘肺病患者WHOQOL-BREF总分的影响因素(P<0.05)。结论农民工尘肺病患者生命质量低于国有企业尘肺病患者,家均年收入、行动能力好坏及有无并发症是尘肺病患者生命质量的影响因素。

Objective 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.Methods 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.Results 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(P<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(P<0.01).The result of multi-liner regression analysis showed that average annual household income(b=0.00015,95%CI:0.00010-0.00020),being rural migrant workers(b=-5.904,95%CI:-8.436--3.372),better action ability(b=2.595,95%CI:0.706-4.483)and have complication(b=-2.542,95%CI:-4.698--0.387)were factors influencing overall score of WHOQOL-BREF of pneumoconiosis patients(P<0.05).Conclusion 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.