肺结核流动人口社区干预的生存质量评价

Assessing Health Interference in Community on the Quality of Life of Patients with Pulmonary Tuberculosis of Floating Population

目的 用生存质量Qol量表测评肺结核(TB)流动人口社区干预的效果。方法 运用SF-36量表等调查表,对20个干预社区403倒流动人口活动性肺TB,进行Qol测量和社区干预效果评价。结果 社区干预后,流动肺TB患者的平均SF-36总评分及8个分项目的评分比较,差异有显著性(P<0.01):肺结核KAP评分和BIP评分均大幅提高(P<0.01);主要影响因素包括:工作及居住环境、劳动强度、生活方式、营养饮食、健康教育和家庭支持。结论 社区干预是有效地防治肺结核病的必要手段之一,运用生存质量测评指导社区干预的规划、实施和效果评价,是一种简便、可行、高效的方法。

OBJECTIVE To assessing the effect of the health interference in community on the quality of life (Qol) of patients, which with pulmonary tuberculosis (TB) of floating population. METHOD Qol of 403 floating patients with TB in 20 community were marked by MOS SF -36, to assessing the effect of the health interference in community. RESULTS Comparing the average total mark of SF- 36 and the 8 subdivisions in TB patients of floating population, statistically significant differences were found ( P values < 0.01), after the health interference in community. The mark of KAP and BIP about TB both were improve much. The mostly effect factors were comprised: conditions of working and living, the intensity of work, life style, nutrition bites, health education and family sustain. CONCLUSION It is one of necessary means, which that the health interference in community, for prevention and cure TB. It also is one of simple realize effectively means, which measuring Qol, to instructing the programming, implement and evaluation of the health interference in community.