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| Influencing factors for hospitalization of pneumoconiosis patients |
| LI Tao*, JIA Junlin, SHI Li, WANG Jing, LI Yiqi, WANG Xiaolin, LI Mengna, GUO Xinnian, FANG Yuan, WANG Huanqiang, LOU Jianlin
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| *Institute of Occupational Disease Prevention, Hangzhou Medical College, Hangzhou, Zhejiang 310013, China |
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Abstract Objective To analyze the influencing factors for hospitalization of pneumoconiosis patients, so as to provide reference for improving the timeliness of treatment and quality of life in these patients. Methods The pneumoconiosis patients in Changshan, Wenling and Changxing ( having mining industry ) of Zhejiang Province were selected by stratified and typical sampling methods. Their demographic features, prevalence of pneumoconiosis and hospitalization status were collected by a questionnaire survey. Logistic regression analysis was conducted to analyze the influencing factors for hospitalization. Results Among 166 pneumoconiosis patients, 122 ( 73.49% ) chose to be hospitalized. The multivariate logistic regression analysis revealed that the patients who scored higher in ED-5Q ( OR=65.821, 95%CI: 3.831-1130.781 )and who would communicate with other pneumoconiosis patients ( OR=3.744, 95%CI: 1.261-11.115 ) were more likely to be hospitalized; the patients who were under the medical insurance for urban employees were more likely to be hospitalized than those who were under the new rural cooperative medical care system ( OR=0.033, 95%CI: 0.007-0.154 ) and others ( OR=0.038, 95%CI: 0.002-0.960 ) . Conclusion The quality of life, communication with other pneumoconiosis patients and type of medical insurance were the influencing factors for hospitalization of pneumoconiosis patients.
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Received: 26 March 2020
Revised: 02 June 2020
Published: 14 August 2020
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[1] 王焕强,李涛.尘肺病的定义与历史[J].中国职业医学,2017,44(4):485-493.
[2] CHEN W,LIU Y,WANG H,et al.Long-term exposure to silica dust and risk of total and cause-specific mortality in Chinese workers:a cohort study[J].PLoS Med,2012,9(4):e1001206.
[3] 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.
[5] 王焕强,李涛.我国尘肺病治疗药物的临床疗效研究分析[J].中华劳动卫生职业病杂志,2016,34(7):510-516.
[6] 毛翎,彭莉君,王焕强.尘肺病治疗中国专家共识(2018年版)[J].环境与职业医学,2018,35(8):677-689.
[7] 刘涛,刘红英,赵月鹏.尘肺病的综合预防与治疗探讨[J].临床医学研究与实践,2017,2(1):94-95.
[8] 温玉萍,柳美欣,郝翠英.心理学合理情绪疗法对尘肺病患者心理状况的影响研究[J].山西医药杂志,2017,46(24):3086-3089.
[9] 李明晖,罗南.欧洲五维健康量表(EQ-5D)中文版应用介绍[J].中国药物经济学,2009(1):49-57.
[10] 马玉琴,滕海英,孙宁,等.农村医疗支出型贫困人群门诊就医行为及其影响因素调查[J].中国全科医学,2016(1):100-105.
[11] 夏双红,席特,毕娅,等.尘肺患者疾病认知情况调查分析[J].中国工业医学杂志,2020,33(1):53-55.
[12] KIM S,THOMAS P A.Direct and indirect pathways from social support to health[J].J Gerontol B Psychol Sci Soc Sci,2019,74(6):1072-1080.
[13] 宋宇,张晋丽,陈忱,等.尘肺合并肺结核患者心理健康与社会支持相关性分析[J/CD].中华肺部疾病杂志(电子版),2019,12(2):230-232.
[14] 王蕊琪,周郁秋,贾红红.慢性病患者就医行为影响因素研究进展[J].护理学报,2018,25(3):24-28.
[15] 戴逸君,高飞,陈志涵,等.福建地区部分风湿性疾病患者就医行为及经济负担的现状调查[J].中华风湿病学杂志,2014,18(7):485-488.
[16] 胡思洋. 农村老年人就医行为的影响因素研究——来自谷城、南阳两地数据的实证[J].人口与发展,2016(5):69-74,60.
[17] 鲍婷,王佑娟,马原林,等.居民就医行为研究进展[J].中国社会医学杂志,2019,36(2):135-138.
[18] 国家统计局.中华人民共和国2017年国民经济和社会发展统计公报[EB/OL].(2020-02-28)[2020-06-02].http://www.stats.gov.cn/tjsj/zxfb/202002/t20200228_1728913.html.
[19] 魏来,王焕强,吕向裴,等.尘肺病患者一年住院率及其社会保障相关影响因素分析[J].中华劳动卫生职业病杂志,2019,37(9):656-659.
[20] 中华人民共和国人力资源和社会保障部,中华人民共和国国家卫生健康委员会.关于做好尘肺病重点行业工伤保险有关工作的通知[EB/OL].(2019-12-12)[2020-06-02].http://www.mohrss.gov.cn/gkml/zcfg/gfxwj/201912/t20191212_346636.html?keywords%3D. |
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