Buscher April L, Kallen Michael A, Suarez-Almazor Maria E, Giordano Thomas P
J Assoc Nurses AIDS Care. 2015 Nov-Dec;26(6):720-31. doi: 10.1016/j.jana.2015.08.002. Epub 2015 Aug 14.
As with cancer survivors, HIV-infected people may have unique physical, psychological, social, and existential challenges over their lifespans, yet no single instrument can assess such challenges. A newly created Impact of HIV Survey, modified from Zebrack's Impact of Cancer Scale, was developed and completed by 356 HIV-infected patients on antiretroviral therapy. Factor analyses confirmed seven scales within 38 items: Health Awareness, Positive Self-Evaluation, Positive Outlook, Value of Relationships, Negative Self-Evaluation-Outlook, Health Anxiety, and Body Changes (Cronbach's alphas range = 0.54-0.93). Participants scored high on health awareness, positive outlook, and value of relationships; high on health worry; and low on body image concerns. Patients with HIV for 15 years and longer tended to have higher positive self-evaluation scores and lower negative self-evaluation-outlook scores compared to those with HIV for a shorter duration. The initial survey version had good internal validity with potential utility in research and clinical care.
与癌症幸存者一样，感染艾滋病毒的人在其一生中可能面临独特的身体、心理、社会和生存挑战，但没有一种单一的工具能够评估这些挑战。一项新创建的艾滋病毒影响调查，是在泽布拉克的癌症影响量表基础上修改而成，由356名接受抗逆转录病毒治疗的艾滋病毒感染者进行了填写。因子分析在38个项目中确认了七个量表：健康意识、积极的自我评估、积极的展望、人际关系的价值、消极的自我评估-展望、健康焦虑和身体变化（克朗巴赫系数范围=0.54-0.93）。参与者在健康意识、积极展望和人际关系价值方面得分较高；在健康担忧方面得分较高；在身体形象关注方面得分较低。与感染艾滋病毒时间较短的患者相比，感染艾滋病毒15年及以上的患者往往具有较高的积极自我评估得分和较低的消极自我评估-展望得分。最初的调查版本具有良好的内部效度，在研究和临床护理中具有潜在的实用性。
