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与HIV相关疲劳相关的生理和心理标志物。

Physiological and psychological markers associated with HIV-related fatigue.

作者信息

Barroso Julie, Carlson John R, Meynell Janet

机构信息

University of North Carolina School of Nursing, USA.

出版信息

Clin Nurs Res. 2003 Feb;12(1):49-68. doi: 10.1177/1054773803238740.

Abstract

Fatigue is among the most common and debilitating complaints of HIV-positive individuals. These data are part of a larger exploratory study investigating the relationships of selected psychological and physiological factors among 40 participants with HIV-related fatigue. Fatigue severity was measured using the HIV-Related Fatigue Scale. Fatigue was correlated with depression (r = .40, p < .01), state anxiety (r = .40, p <.01), and trait anxiety (r = .46, p <.01). Of the physiological factors, there were three statistically significant correlations: thyroid-stimulating hormone was negatively correlated with fatigue severity (r = -.36, p = .02), and platelets (r = .35, p = .03) and alkaline phosphatase (r = .27, p = .09) were positively correlated with fatigue severity. There were no correlations between fatigue severity and CD4 count (r = -.16, p = .31) or fatigue severity and HIV viral load levels (r = .031, p = .84). Even among the group with excellent viral suppression, fatigue scores were still very high for many participants.

摘要

疲劳是HIV阳性个体最常见且使人衰弱的症状之一。这些数据是一项更大规模探索性研究的一部分,该研究调查了40名患有HIV相关疲劳的参与者中特定心理和生理因素之间的关系。使用HIV相关疲劳量表测量疲劳严重程度。疲劳与抑郁(r = 0.40,p < 0.01)、状态焦虑(r = 0.40,p < 0.01)和特质焦虑(r = 0.46,p < 0.01)相关。在生理因素方面,有三个具有统计学意义的相关性:促甲状腺激素与疲劳严重程度呈负相关(r = -0.36,p = 0.02),血小板(r = 0.35,p = 0.03)和碱性磷酸酶(r = 0.27,p = 0.09)与疲劳严重程度呈正相关。疲劳严重程度与CD4细胞计数(r = -0.16,p = 0.31)或疲劳严重程度与HIV病毒载量水平(r = 0.031,p = 0.84)之间没有相关性。即使在病毒抑制效果极佳的组中,许多参与者的疲劳评分仍然非常高。

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