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目的:用SF-36量表对吉林市部分农村慢性阻塞性肺病(COPD)患者的生存质量进行评估,并分析相应的影响因素。方法:采用随机抽样,对吉林市3个乡镇中的27个自然村作为调查现场,并以40岁以上人群作为调查对象,测定肺活量(FEV 1/FVC)<70%者诊断为COPD。并取患者组和部分非患者组进行问卷调查,使用SF-36量表并加上基本调查项目。结果:COPD患者组在SF-36各维度的得分与非患者组比有明显下降。在对COPD患者组做进一步分析时,发现其中年龄、吸烟、职业情况和居住环境这些因素对各维度的分值影响比较显著。结论:通过对吉林部分农村COPD患者生存质量的评估,可以看出COPD对患者的生存质量有一定的影响,其中吸烟、职业因素、年龄、居住环境因素对生存质量的影响较大,建议在对患者进行干预治疗时,应考虑这些因素,以期改善生存状况,提高生存质量。
Objective: To evaluate the quality of life of some rural patients with chronic obstructive pulmonary disease (COPD) in Jilin City by SF-36 scale and to analyze the corresponding influencing factors. Methods: A total of 27 natural villages in 3 townships of Jilin City were selected as the survey site by random sampling. Patients with over 40 years of age were surveyed and their vital capacity (FEV 1 / FVC) <70% were diagnosed as COPD. The patient group and part of the non-patient group were surveyed, the SF-36 scale was used together with the basic survey items. Results: The score of SF-36 in all dimensions of patients with COPD was significantly lower than that in non-patients. In the further analysis of COPD patients, we found that among them, age, smoking, occupational conditions and living environment have significant influence on the scores of all dimensions. Conclusion: By evaluating the quality of life of COPD patients in some rural areas of Jilin Province, we can see that COPD has a certain impact on the quality of life of patients, smoking, occupational factors, age and living environment have a greater impact on quality of life. Patients with interventions should consider these factors in order to improve the living conditions and improve the quality of life.