| Objectives:To Understand the quality of life of pulmonary tuberculosis patients, and to compare the diffrence between pre-treatment, treatment and after treatment,to analysis their influence factors, for the development to improve the quality of life of patients with pulmonary tuberculosis corresponding to provide evidence.Methods:The cross-sectional study was adopted in this reasearch, using stratified cluster sampling method, extracting 392 cases of non-MDR-TB patients in May 2015 to December in Xishan District, Anning City, Dongchuan District; extracting 46 cases with MDR-TB in January 2012 to 2015 December in Yunnan CDC tuberculosis clinical treatment centers (TCC) and the third people’s hospital in Kunming who were diagnosed and met the inclusion criteria, CHEN LiuPing and other applications developed tuberculosis patients specialized scale QLICD-PT (V2.0), the survey measured the quality of life in patients with conditions and further analysis of demographic characteristics, lifestyle, disease-related conditions, the impact of the patient’s condition and clinical examination of social support on the quality of life of patientsResults:1.Percentile score of Non-MDR-TB patients quality of life was 67.75±10.39, physical domain score was 64.62 ± 13.83; psychological domain score of 75.61 ±17.28; social domain score of 79.23±14.92; specific domain score was 79.59+17.02.Completed two measurements non-MDR-TB patients with second measurement of quality of life total score of 175.09+23.51, compared with the first measurement of 170.21 ±21.28 improved 4.88 points,the difference was statistically significant (P<0.05); The TOT and various domain score of quality of life in patients with non-MDR-TB who completed the three measurements were difference between pre-treatment, treatment and after treatment, the difference was statistically significant (P<0.05), and with the duration of treatment, the quality of life in patients was improved. The TOT of quality of life of retreatment smear positive pulmonary tuberculosis patients were 153.70 ± 31.27 which was lower than smear negative patients, the difference was statistically significant (P<0.05). Multiple linear regression analysis showed that the influence factors of quality of life for patients with non-MDR-TB were social support,white blood cell count, exercise conditions, family income and gender.2. Percentile score of MDR-TB patients quality of life was 77.76±13.66, physical domain score was 76.75±15.49; psychological domain score of 65.12±15.53; social domain score of 67.26±15.39; specific domain score was 73.10±12.75. As the duration of treatment, the quality of life in MDR-TB patients was improved, (r= 0.32, P= 0.029). Multiple linear regression analysis showed that the influence factors of quality of life for patients with MDR-TB were treatment duration.3. The TOT of MDR-TB patients was 152.11±17.04, physical domain score was 35.85±5.53; psychological domain score of 39.65±6.84; social domain score of 29.52±4.92; specific domain score was 47.09±6.12,were lower than the non-MDR-TB patients, the difference was statistically significant (P<0.05).Conclusions:The quality of life of pulmonary tuberculosis was generally lower The quality of life of retreatment smear positive pulmonary tuberculosis patients was lower than smear negative patients. The TOT and various domain score of quality of life in patients with MDR-TB were lower than the non-MDR-TB patients. Treatment can improve the quality of life for patients with tuberculosis. Factors Affecting non-MDR-TB patients’ quality of life primarily for social support, white blood cell count, exercise, family income, gender; Factors Affecting Quality of Life in Patients MDR-TB is mainly psychological function, gender.This suggests that the treatment can significantly improve the quality of life of patients with tuberculosis, but we also pay attention to patients’ psychological and social support functions, thereby improving the quality of life in patients. |
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