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目的调查尘肺患者的生存质量(Life Quality,LQ)和心理卫生健康状况,并对其影响因素进行分析,以期提高尘肺患者的生活质量。方法采用世界卫生组织生存质量测定量表简表(WHO QOL—BREF量表)对本院收治的尘肺患者150例(观察组),与同期因其他呼吸道疾病并接尘的患者150例(对照组)进行比较,对尘肺患者生存质量影响因素进行多元线性回归分析。结果本调查显示尘肺患者与对照组相比,躯体化、强迫、人际关系、抑郁、焦虑、恐怖、精神病性、其他因子病例组均高于对照组,差异具有统计学意义(P<0.05),而在人际关系和敌对方面比较两组无统计学差异(P>0.05);同时尘肺患者在生理领域、心理领域、社会领域得分均低于对照组,差异有统计学意义(P<0.05),在环境领域两组无显著性差异(P>0.05),说明尘肺患者在心理、生理及社会满意度方面较对照组差,总体生存质量水平较低。结论经本调查显示尘肺患者的生存质量普遍明显下降,都存在心理健康方面问题,应对尘肺患者实行早期干预措施,加强心理健康教育和心理治疗,延缓期别进展,对提高生存质量有重要意义。
Objective To investigate the quality of life (LQ) and mental health status of patients with pneumoconiosis and to analyze their influencing factors in order to improve the quality of life of patients with pneumoconiosis. Methods A total of 150 patients with pneumoconiosis admitted to our hospital (observation group) and 150 patients with dust-related diseases due to other respiratory diseases during the same period (control group, WHO QOL-BREF scale) ) Were compared, the quality of life of patients with pneumoconiosis multiple linear regression analysis. Results The survey showed that patients with somatization, obsessive compulsive disorder, interpersonal relationship, depression, anxiety, horror, psychosis and other factors were significantly higher in patients with pneumoconiosis than those in the control group (P <0.05) While there was no significant difference between the two groups in interpersonal relationship and hostility (P> 0.05). At the same time, the scores of pneumoconiosis patients in the physiological, psychological and social fields were lower than those in the control group (P <0.05) There was no significant difference between the two groups in the field of environment (P> 0.05), indicating that the patients with pneumoconiosis had worse psychological, physiological and social satisfaction than the control group, and their overall quality of life was low. Conclusion The survey shows that the quality of life of patients with pneumoconiosis generally decreased significantly, there are mental health problems, the implementation of early intervention in patients with pneumoconiosis, strengthen mental health education and psychological treatment, delay the progress of the stage, to improve the quality of life is of great significance.