摘要
目的分析尘肺病患者住院行为的影响因素,为促进尘肺病患者及时就医和提高生命质量提供依据。方法采用分层随机抽样和典型抽样结合的方法,在浙江省选取具有典型采矿业的常山县、温岭市和长兴县尘肺病患者为研究对象,采用中国疾病预防控制中心职业卫生与中毒控制所编制的《尘肺病患者就医行为及其影响因素调查问卷》调查人口学特征、尘肺病患病、社会保障和支持情况、生命质量、家庭史及住院情况等。采用多因素Logistic回归模型分析患者住院行为的影响因素。结果纳入尘肺病患者166例,曾住院治疗122例,占73.49%。多因素Logistic回归分析结果显示,欧洲五维健康量表总分高(OR=65.821,95%CI:3.831~1 130.781)、主动与其他尘肺病患者交流尘肺病信息(OR=3.744,95%CI:1.261~11.115)的尘肺病患者选择住院的可能性更高;参保城镇职工医保的尘肺病患者选择住院的可能性高于参保新农合(OR=0.033,95%CI:0.007~0.154)和其他(OR=0.038,95%CI:0.002~0.960)的患者。结论尘肺病患者住院行为的影响因素主要为生命质量、与其他患者是否有病情交流和医保参保类别。
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-5 Q(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.
作者
李涛
贾君麟
施理
王晶
李益琪
王小林
李梦娜
郭心念
方圆
王焕强
楼建林
LI Tao;JIA Junlin;SHI Li;WANG Jing;LI Yiqi;WANG Xiaolin;LI Mengna;GUO Xinnian;FANG Yuan;WANG Huanqiang;LOU Jianlin(Institute of Occupational Disease Prevention,Hangzhou Medical College,Hangzhou,Zhejiang 310013,China;不详)
出处
《预防医学》
2020年第8期790-794,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
国家卫生健康委科学研究基金-浙江省医药卫生重大科技计划重点项目(WKJ-ZJ-2022)。
关键词
尘肺病
住院
生命质量
pneumoconiosis
hospitalization
quality of life
