Quality of life and the influencing factors in the newly diagnostic patients with pulmonary tuberculosis
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摘要: 目的 探讨初诊结核病患者的生命质量及其影响因素,为改善其生命质量提供理论依据。 方法 对新疆奎屯市和徐州市鼓楼区2012年1月-2013年1月间确诊管理的肺结核病患者和匹配的对照者,采用自行设定的基本情况调查表和SF-36生命质量(QOL)测量表、焦虑及抑郁自评量表、匹兹堡睡眠质量指数量表进行面对面调查;采用线性回归方法分析肺结核患者的生命质量及其影响因素。 结果 共调查354例肺结核病患者,年龄18~81岁,平均(45.21±18.71)岁,其中男性207例(58.47%),女性147例(41.53%);共调查对照组708例,年龄18~82岁,平均(45.26±18.56)岁,其中男性414例(58.05%),女性294例(41.53%);QOL在病例组与对照组间的比较显示:病例组为51.35(42.85,63.31)分,对照组为86.60(79.80,89.75)分,2组间差异有统计学意义(Z=-15.93,P<0.05);分维度分析:病例组生理健康(PCS)和心理健康(MCS)维度均低于对照组(P<0.05)。对病例组生命质量进行线性回归分析显示,高龄、居住环境阴暗潮湿、焦虑、抑郁及睡眠质量差为危险性因素,长期锻炼及有医疗保障为保护性因素(P<0.05);其中居住环境阴暗潮湿、焦虑、抑郁及睡眠质量差均为影响生理健康(PCS)和心理健康(MCS)主要危险因素(P<0.05)。 结论 肺结核病患者生命质量较低,对肺结核患者进行抗痨治疗的同时,应对患者的心理疾患和睡眠质量进行筛查和干预,以提高患者的生命质量。Abstract: Objective To explore the influencing factors affected quality of life in patients with pulmonary tuberculosis,and provide the theoretical basis for improving their quality of life of patients with pulmonary tuberculosis. Methods The patients with pulmonary tuberculosis who were newly diagnosed and administered from January,2012 to January,2013 in Kuitun City of Xinjiang autonomous region and Gulou district of Xuzhou City in Jiangsu province and matched control were enrolled.The self-designed questionnaire and SF-36 quality of life (QOL) measurement scale,anxiety and depression self-rating scales,the Pittsburgh sleep quality index scale were used face to face to investigate.The linear regression was used to analyzed risk factors affected the quality of life of the newly diagnostic patients with pulmonary tuberculosis. Results Three hundred and fifty-four patients whose average age is 45.21±18.71 were investigated,of them,207(58.47%) are males,147(41.53%) are females;708 subjects whose average age is 45.26±18.56 were investigated in control group,of them,414(58.05%) are males,294(41.53%) are females;QOL was 51.35(42.85,63.31) in patients group,and was 86.60(79.80,89.75) in control group,there was a significant difference between the two groups (Z=-15.93,P<0.05).The different dimensions of QOL,the physical component summary (PCS) and the mental component summary (MCS) of the patients group were all lower than that of the control group (all P<0.05).Linear regression analyzing the factors of the newly diagnostic patients with pulmonary tuberculosis showed that age,exercise,medical insurance and living in dark and damp environment,anxiety,depression and sleep quality were the factors affecting of QOL (P<0.05),and old age,living in dark and damp environment,anxiety,depression and poor sleep quality are risk factors,while long-term training and medical insurance are protective factors (P<0.05).Co-occurrence risk factors affected PCS and MCS including living in dark and damp environment,anxiety,depression,and poor-quality sleep as risk factors (P<0.05). Conclusion The newly diagnostic patients with pulmonary tuberculosis have lower quality of life.While treating patients with pulmonary tuberculosis,anxiety and depression and sleep quality should be screened and intervened,in order to improve the quality of life of patients.
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Key words:
- Pulmonary tuberculosis /
- Quality of life /
- Sleep quality /
- Anxiety /
- Depression /
- Risk factors
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