尘肺病初诊患者进入尘肺病正式诊断复诊阶段的情况及其影响因素

目的 探讨尘肺病初诊患者进入尘肺病正式诊断复诊阶段的情况及其影响因素.方法 选取广西6个具有尘肺病健康检查和(或)尘肺病诊断资质单位,收集非正式尘肺初诊病例的职业健康检查资料或临床资料,分析影响非正式尘肺初诊病例进入尘肺正式诊断复诊阶段的因素.结果 共纳入147例非正式尘肺初诊病例,其中107例未进入正式尘肺病诊断复诊阶段,漏诊率为72.8%.多因素分析结果显示,患者要求检查类型、通知复诊方式是影响进入尘肺病正式诊断复诊阶段的因素(P<0.05).结论 非正式尘肺初诊患者进入正式诊断复诊阶段比例较低,而患者主动要求体检、书面通知患者个人可降低漏诊率.

Incidence and influencing factors of entering official diagnosis and re-examination stage in patients with informal preliminary diagnosis of pneumoconiosis

Objective To explore the incidence and influencing factors of entering official diagnosis and re -examination stage in patients with informal preliminary diagnosis of pneumoconiosis .Methods Occupational health examination data or clinical data of cases with informal preliminary diagnosis of pneumoconiosis were collected from 6 qualified institutions for health examination and/or diagnosis of pneumoconiosis in Guangxi .The influencing factors of entering official diagnosis and re-examination stage in patients with informal preliminary diagnosis of pneumoconiosis were analyzed.Results Out of 147 unofficial cases with informal preliminary diagnosis of pneumoconiosis involved, 107 cases did not enter official diagnosis and re-examination stage,and the rate of missed diagnosis was 72.8%.The results of multivariate analysis showed that the type of patients′requiring for examination and the informing method for re-examination were influencing factors of entering official diagnosis and re-examination stage of pneumoconiosis (P<0.05).Conclusion The proportion of unofficial patients with informal preliminary diagnosis of pneumoconiosis who do not enter official diagnosis and re-examination stage is quite low .The rate of missed diagnosis can be reduced when the patients are volunteered to health examination or written notification for re -examination is adopted .