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| Quality of life among 244 patients with occupational pneumoconiosis in Jinhua City |
| LUO Jinbin1, HE Xiaoqing1, CHEN Qiang1, GUO Zhen1, LUO Ziyi2
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1. Department of Environmental and Occupational Health, Jinhua Center for Disease Control and Prevention, Jinhua, Zhejiang 321002, China;
2. Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310020, China |
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Abstract Objective To investigate the quality of life among patients with occupational pneumoconiosis in Jinhua City, Zhejiang Province, so as to provide insights into improving the quality of life among patients with occupational pneumoconiosis. Methods Patients with occupational pneumoconiosis in Jinhua City from 2009 to 2021 were retrieved from the National Occupational Disease and Health Risk Factors Monitoring Information System. Participants' demographics, diagnosis of pneumoconiosis, stage of pneumoconiosis, pulmonary function and medical expense were collected through questionnaire surveys, and the quality of life was measured using a Chinese version of the Short-Form Health Survey (SF-36). The quality of life was descriptively analyzed among patients with occupational pneumoconiosis by disease stage, pulmonary function, expense for disease diagnosis and treatment and educational level. Results A total of 244 patients with occupational pneumoconiosis were enrolled, including 225 men (92.21%). The participants had a mean age of (75.20±9.42) years, and mean duration from dust contact to pneumoconiosis onset of (13.11±9.89) years. The scores for physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health were (64.03±31.22), (45.14±44.22), (56.34±26.60), (40.80±19.80), (59.14±17.35), (68.41±19.67), (47.03±44.08) and (61.15±17.06) points among patients with occupational pneumoconiosis, which were all lower than the national constant (P<0.05). Lower scores were measured for physical functioning [(31.17±23.40) points], bodily pain [(45.21±19.50) points] and vitality [(47.00±20.70) points] among patients with stage Ⅲ occupational pneumoconiosis, for physical functioning [(32.27±24.24) points], role-physical [(12.88±30.70) points], bodily pain [(37.44±20.43) points], general health [(14.76±17.17) points], vitality [(38.79±19.33) points], social functioning [(53.33±17.08) points], role-emotional [(9.09±26.71) points], and mental health [(53.21±17.25) points] among occupational pneumoconiosis patients with severe pulmonary function damages, and for physical functioning [(30.97±27.40) points], bodily pain [(37.77±24.34) points], general health [(19.10±18.62) points], vitality [(38.39±23.78) points], social functioning [(55.89±21.00) points] and mental health [(55.35±20.35) points] among occupational pneumoconiosis patients that had personal payments for pneumoconiosis diagnosis and treatment expenses exceeding 30% of annual household incomes, while higher scores were measured for physical functioning [(66.36±17.33) points] and role-physical [(59.09±45.10) points] among occupational pneumoconiosis patients with an educational level of high school and above (all P<0.05). Conclusions The quality of life was low among occupational pneumoconiosis patients in Jinhua City from 2009 to 2021. Stage of pneumoconiosis, pulmonary function, medical expenses and educational level were identified as factors affecting the quality of life among occupational pneumoconiosis patients in Jinhua City.
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Received: 08 February 2023
Revised: 28 April 2023
Published: 13 June 2023
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[1] 方积乾. 生存质量测定方法及应用[M].北京:北京医科大学出版社,2000.
[2] 陈芳妮,于健,杨娟,等.糖尿病视网膜病变患者生存质量现状及影响因素分析[J].国际护理学杂志,2018,37(2):187-189.
[3] 邹华,张美辨,方兴林,等.浙江省尘肺病直接经济损失研究[J].浙江预防医学,2015,27(12):1210-1212.
[4] 皮海峰,马鸣岳,杨淑琴.西安市2016—2017年尘肺病患者生存质量及治疗现状分析[J].解放军预防医学杂志,2018,36(8):977-979.
[5] 浦娟,范琳波,木云珍,等.云南省昭通市农民工尘肺病患者生存质量分析[J].中国职业医学,2019,46(2):184-187.
[6] 陈文红. 220例矽肺病患者的生存质量及其影响因素[J].中华劳动卫生职业病杂志,2015,33(2):116-118.
[7] 中华人民共和国国家卫生和计划生育委员会.职业性尘肺病的诊断:GBZ 70—2015[S].北京:中国标准出版社,2016.
[8] BRITO K,EDIRIMANNE S,ESLICK G D.The extent of improvement of health-related quality of life as assessed by the SF 36 and Paseika scales after parathyroidectomy in patients with primary hyperparathyroidism:a systematic review and meta-analysis[J].Int J Surg,2015,13:245-249.
[9] 中华医学会呼吸病学会肺功能专业组.肺功能检查指南(第二部分):肺量计检查[J].中华结核和呼吸杂志,2014,37(7):481-486.
[10] 潘廷芳,司超增,何慧婧,等.我国6省市人群的健康相关生命质量研究[J].基础医学与临床,2011,31(6):636-641.
[11] 罗爱武,彭波,白香连,等.522例新诊断的尘肺病病例肺功能损伤情况及其影响因素[J].职业与健康,2017,33(3):310-312.
[12] 周勇,贺婉婷,黎亚樊,等.郴州市尘肺病患者生存质量及其影响因素[J].湖南学院学报(医学版),2020,23(3):49-53.
[13] 佟岩,孔云燕,边浩,等.1963—2020年石嘴山市职业性尘肺病生存状况及疾病负担变化趋势分析[J].中华劳动卫生职业病杂志,2022,40(5):341-347.
[14] 李德鸿,赵金垣,李涛.中华职业医学[M].北京:人民卫生出版社,2019. |
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