Quality of life and Illness of Silicosis Patients

Krittin Silanun, Wisree Wayurakul, Werawut Pattanaworapong, Kriengsak Mungtoklang
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Abstract

OBJECTIVES: To evaluate the quality of life (QOL) and illness among silicosis patients. MATERIALS AND METHODS: The cross-sectional study was conducted among 125 silicosis patients aged between 29-79 years old. Four different tools were used in the study these included WHOQOL-BREF-THAI, Suanprung Stress Test-20 (SPST-20), peak flow metre and depth interview with the method of Feeling, Idea, Function, and Expectation (FIFE). RESULTS: Approximately 80% of the silicosis patients can live life at a moderate to poor quality of life, and 83.2% of the silicosis patients had abnormal PEFR. In-depth interviews implemented with FIFE methods revealed that most of the silicosis patients are aware that silicosis is incurable but preventable. Additionally, it was known among workers that changing occupation might be necessary when diagnosed with the disease. Annual chest x-rays and medical checkup by physicians are considered to be the most practiced for silicosis patients. The relation between %PEFR and QOL showed low correlation (r = 0.05). In addition, the relation between %PEFR and stress level also showed low correlation (r = 0.07). CONCLUSION: Four different tools may be considered to monitor silicosis amongst workers through home visits carried out by the residents’ local health assistants or nurses.
矽肺患者的生活质量与病情
目的:评估矽肺患者的生活质量和疾病。材料和方法:对125名年龄在29-79岁之间的矽肺患者进行横断面研究。研究中使用了四种不同的工具,包括WHOQOL-BRE-THAI、Suanprong压力测试-20(SPST-20)、峰值流量计和采用感觉、想法、功能和期望(FIFE)方法的深度访谈。结果:大约80%的矽肺患者能够以中等至较差的生活质量生活,83.2%的矽肺患者PEFR异常。采用FIFE方法进行的深入访谈显示,大多数矽肺患者都意识到矽肺是无法治愈但可以预防的。此外,工人们都知道,当被诊断出患有这种疾病时,改变职业可能是必要的。每年的胸部x光片和医生的体检被认为是矽肺患者最常用的方法。%PEFR与生活质量的相关性较低(r=0.05),与压力水平的相关性也较低(r=0.07)。
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