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目的应用尘肺病生存质量专用量表评估接受肺灌洗的尘肺患者生存质量及其影响因素。方法以新编制的尘肺病生存质量专用量表为工具,对确诊的接受肺灌洗治疗的80例尘肺患者进行测试,分析尘肺患者的生存质量及其影响因素。结果尘肺患者的生存质量与尘肺的期别和肺功能指标FEV1%有关,尘肺的期别越高,肺功能受损程度越大,生存质量越差;尘肺期别、临床症状、FEV1%3个指标与生存质量的相关系数大于各指标间的相关系数,生存质量能够较好地反映尘肺的病情;量表的4个维度中,心理状况对生存质量贡献最大,症状的贡献最小。结论尘肺病生活质量量表用于尘肺病生活质量的临床测量,可以反映尘肺病患者的生存质量及病情变化,改善心理状态是提高尘肺患者生存质量的重要措施。
Objective To evaluate the quality of life and its influencing factors in patients with pneumoconiosis who received lung lavage by using the special quality of life questionnaire for pneumoconiosis. Methods A new pneumoconiosis quality-of-life questionnaire was used as a tool to test 80 pneumoconiosis patients diagnosed with pulmonary lavage and to analyze the quality of life and its influencing factors in patients with pneumoconiosis. Results The quality of life of pneumoconiosis patients was related to the stage of pneumoconiosis and pulmonary function index FEV1%. The higher the stage of pneumoconiosis, the greater the degree of lung function impairment, the worse the quality of life; the stage of pneumoconiosis, clinical symptoms, FEV1% The correlation coefficient between the index and quality of life is greater than the correlation coefficient between the indicators, and the quality of life can better reflect the condition of pneumoconiosis. Among the four dimensions of the scale, the psychological status contributes the most to the quality of life and the least contribution to the quality of life. Conclusion The Pneumoconiosis Quality of Life Scale is used to measure the quality of life of patients with pneumoconiosis, which can reflect the quality of life and disease changes in patients with pneumoconiosis. Improving psychological status is an important measure to improve the quality of life of patients with pneumoconiosis.