中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (9): 643-647.doi: 10.12144/zgmfskin202509643

• 论著 • 上一篇    下一篇

重庆市麻风存活者生存质量及影响因素分析

罗升群1,唐浩民2,吴科静1,王涛1,蒋朝辉1,苏洁1,程静1,李霜霜1,赵萍1,赵兵1   

  1. 1重庆市巴南区皮肤病防治院，重庆，401320；2重庆医科大学，重庆，400016
  • 出版日期:2025-09-15 发布日期:2025-09-08

Quality of life and influencing factors of leprosy survivors in Chongqing

LUO Shengqun1, TANG Haomin2, WU Kejing1, WANG Tao1, JIANG Chaohui1, SU Jie1, CHENG Jing1, LI Shuangshuang1, ZHAO Ping1, ZHAO Bing1   

  1. 1 Banan District, Chongqing Skin Disease Prevention and Control Hospital, Chongqing 401320, China; 2 Chongqing Medical University, Chongqing 400016, China
  • Online:2025-09-15 Published:2025-09-08

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摘要： 目的：调查重庆城乡麻风存活者生存质量现况并分析其影响因素，为提高麻风存活者的生存质量制定公共卫生策略提供科学依据。方法：选择重庆市主城区及渝西地区麻风存活者分别作为城市及乡村代表，采用自制的基本情况调查表和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)中文版进行现场调查，应用SPSS 25.0统计软件对麻风存活者的生存质量现况及影响因素进行统计分析。结果：2023年重庆市城乡麻风存活者共200例，其中111例（55.5%）感觉生存质量好或很好，126例（63.0%）满意或很满意健康状况。多重线性回归分析显示，渝西地区的麻风存活者生存质量四个领域(生理、心理、社会关系和环境)的分值均低于主城地区；畸残级别越高，四个领域的分值越低；与家人居住的麻风存活者社会关系领域的分值高于独居者；个人年收入越高，心理、社会关系和环境领域的分值越高；劳动能力丧失越严重，生理和社会关系领域的分值越低。结论：重庆市城乡麻风存活者生存质量及健康状况自我评价总体水平相对较好，但重庆乡村地区麻风存活者的生存质量较城市地区低。畸残对生存质量的影响仍较为显著。

关键词: 麻风, 生存质量, 影响因素, WHOQOL-BREF量表

Abstract: Objective: To investigate the quality of life of leprosy survivors and analyze its influencing factors，so as to provide scientific basis for improving the quality of life of leprosy survivors and formulating public health strategies. Methods: The leprosy survivors in the main urban area of Chongqing and the western region of Chongqing in 2023 were selected as the representatives of urban and rural areas respectively，and the self-made basic situation questionnaire and the Chinese version of World Health Organization Quality of Life (WHOQOL-BREF) were used for on-site surveys. SPSS25.0 was applied to conduct statistical analysis on the current situation of the quality of life of leprosy survivors and its influencing factors. Results: In 2023，there were still 200 leprosy survivors in the main city and western area of Chongqing，of which 111 (55.5%) felt their quality of life was good or very good, 126 (63.0%) were satisfied or very satisfied with their health status. Multiple linear regression analysis showed that the scores in four areas of quality of life of leprosy survivors in western Chongqing were lower than those in the main city. The higher the level of deformity, the lower the scores of the four fields. Leprosy survivors living with family members had higher scores in the field of social relations than those living alone. The higher the annual income, the higher the scores in physiology, social relations and environment. The more severe the disability，the lower the scores in the areas of physical and social relations. Conclusion: The overall self-evaluation level of the quality of life and health status of leprosy survivors in urban and rural areas of Chongqing is relatively good, but the quality of life of leprosy survivors in rural areas of Chongqing is lower than that in urban areas. The impact of disability on the quality of life is still significant.

Key words: leprosy, quality of life, influencing factor, WHOQOL-BREF scale