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[广东省艾滋病病毒/艾滋病感染者的生活质量及相关因素]

[Quality of life and related factors among people living with HIV/AIDS in Guangdong province].

作者信息

Dong Xiaomei, Peng Lin, Zhang Siheng, Li Yang, Cai Weiping, Wang Hui, Ye Yunfeng, Yang Jian, Wang Shengyong

机构信息

Center for Injury Prevention and Control, Medical College of Jinan University, Guangzhou 510632, China. Email:

Center for Injury Prevention and Control, Medical College of Jinan University, Guangzhou 510632, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Jan;35(1):40-4.

PMID:24685035
Abstract

OBJECTIVE

To explore the quality of life and related factors among people living with HIV/AIDS in Guangdong province.

METHODS

A total of 443 subjects older than age 18 who had been diagnosed as HIV/AIDS were recruited from AIDS Outpatient Clinic Departments in Guangzhou and Shenzhen. HIV/AIDS-targeted quality of life(HAT-QoL)scale was used to measure the quality of life on the patients. Nonparametric test method and multiple linear regression analysis were performed to explore the related factors.

RESULTS

The average scores of the following nine domains of HIV/AIDS-targeted quality of life scales were:overall function as 59.89 ± 23.35, concerns on medication as 62.91 ± 24.01, worries on factors as being disclosed, on health, on financial situation were 19.97 ± 23.04, 54.05 ± 12.24 and 35.94 ± 26.45, respectively, trust on providers as 68.72 ± 26.17, rate of understanding HIV as 61.46 ± 25.72, on life satisfaction as 56.90 ± 25.30 and on sexual function as 50.82 ± 23.86. Factors associated with quality of life would include sex, age, residential area, education, employment, marital status, complications, HAART-related prescriptions, route of infection and duration of HIV/AIDS etc.

CONCLUSION

The quality of life among HIV/AIDS patients had declined, especially on worries related to disclosure and financial situation. More attention should be paid on those with poor education, low income and lack of family support in order to improve their quality of life and reducing mortality.

摘要

目的

探讨广东省艾滋病病毒/艾滋病(HIV/AIDS)感染者的生活质量及相关因素。

方法

从广州和深圳的艾滋病门诊招募了443名年龄在18岁以上且被诊断为HIV/AIDS的受试者。采用艾滋病针对性生活质量(HAT-QoL)量表对患者的生活质量进行测量。运用非参数检验方法和多元线性回归分析来探究相关因素。

结果

艾滋病针对性生活质量量表的以下九个领域的平均得分分别为:总体功能59.89±23.35,对药物治疗的关注62.91±24.01,对被披露、健康、财务状况等因素的担忧分别为19.97±23.04、54.05±12.24和35.94±26.45,对医疗服务提供者的信任68.72±26.17,对HIV的了解程度61.46±25.72,生活满意度56.90±25.30,性功能50.82±23.86。与生活质量相关的因素包括性别、年龄、居住地区、教育程度、就业情况、婚姻状况、并发症、高效抗逆转录病毒治疗(HAART)相关处方、感染途径以及HIV/AIDS病程等。

结论

HIV/AIDS患者的生活质量有所下降,尤其是在与信息披露和财务状况相关的担忧方面。应更加关注那些教育程度低、收入低且缺乏家庭支持的患者,以提高他们的生活质量并降低死亡率。

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