Graduate School of International Development, Nagoya University, Nagoya 464-8601, Japan.
Qual Life Res. 2010 Mar;19(2):157-66. doi: 10.1007/s11136-009-9574-z. Epub 2010 Jan 3.
This study investigates the relationship among perceived satisfaction from social support, hope, and QOL of PLWHA.
A cross-sectional in design was applied, among a sample of 160 HIV-infected persons receiving treatment, care, and support from eight community-based NGOs. QOL was assessed using the WHO (QOL)-26 tool, and social support was assessed by use of a modified Sarason's Social Support Questionnaire. A Hope Assessment Scale was also developed.
The non-family support network was greater than family support network. Overall satisfaction from social support and hope was significantly correlated with QOL; the greatest effect of social support was on environmental functioning, and the lowest was on social relationships, emotional support was less a predictor of social relationship than other types of supports.
The effect of perceived satisfaction from social support was through the mediation variable hope. As it has widely been recognized that community-based support is vital for issues of quality of life, strategies to improve social support and hope intervention programs are strongly encouraged. The results of the study have implications for providing care, treatment, and psycho-social support to maintain or enhance quality of life of PLWHA.
本研究旨在探讨艾滋病病毒感染者（PLWHA）的社会支持感知满意度、希望与生活质量之间的关系。
采用横断面设计，在接受 8 个社区非政府组织治疗、护理和支持的 160 名 HIV 感染者中进行。使用世界卫生组织（WHO）生活质量 -26 工具评估生活质量，使用改良的 Sarason 社会支持问卷评估社会支持。还开发了一个希望评估量表。
非家庭支持网络大于家庭支持网络。社会支持和希望的总体满意度与生活质量显著相关；社会支持对环境功能的影响最大，对社会关系的影响最小，情感支持对社会关系的预测作用小于其他类型的支持。
社会支持感知满意度的影响是通过中介变量希望来实现的。由于社区支持对于生活质量问题至关重要，因此强烈鼓励采取改善社会支持和希望干预计划的策略。研究结果对为维持或提高 PLWHA 的生活质量提供护理、治疗和心理社会支持具有重要意义。
