Li Xing-Ming, Yuan Xiao-Qing, Wang Jun-Jie, Zhang Wan-Ying, Zhou Yang, Liu Gu-Ning
School of Health Administration and Education, Capital Medical University, Beijing, China.
Beijing You An Hospital, Capital Medical University, Beijing, China.
J Clin Nurs. 2017 Feb;26(3-4):369-378. doi: 10.1111/jocn.13377. Epub 2016 Sep 20.
Our study was conducted to further investigate the model of social support and care for People Living with HIV/AIDS(PLHA), to explore their role in People Living with AIDS's quality of life (QOL) as reference for improving nursing policies for AIDS.
Social support and care are the most important factors impacting the QOL of People Living with HIV/AIDS, but most studies conducted upon the influence of social support and QOL of People Living with HIV/AIDS are mainly based on cross-sectional design.
Our study was a nonrandomised controlled community intervention study.
The participants diagnosed as People Living with HIV/AIDS at Beijing You An Hospital received a comprehensive social support care from December 2013 to December 2014. To evaluate the impact of social support and care model on People Living with HIV/AIDS, our study analysed the different dimension scores of social support scale and quality of life before and after the intervention. Correlation between the net benefit value of social support and that of QOL from various dimensions were analysed.
There were significant differences in the score of objective support and usage of support (all p = 0·02) for social support. Net values of objective support score and usage of support were 0·25 and 0·19, respectively, after intervention. There were significant differences in physiological function, role physical, general health, vitality, social function, mental health, health transition and total score of quality of life (all p < 0·05). The canonical correlation analysis of net values of social support and QOL indicated that the first and second canonical correlation were statistically significant, with correlation coefficients of 0·53 (p = 0·00) and 0·21 (p = 0·04).
Social support and care intervention model can effectively improve perceived subjective feeling on social support and QOL condition for People Living with HIV/AIDS. And strategies to improve social support and care intervention programmes are strongly encouraged.
The method is simple and cost-effective and could be a way to improve the quality of life condition for People Living with HIV/AIDS.
本研究旨在进一步探究艾滋病病毒/艾滋病感染者（PLHA）的社会支持与关怀模式，探讨其在艾滋病感染者生活质量（QOL）中所起的作用，为完善艾滋病护理政策提供参考。
社会支持与关怀是影响艾滋病病毒/艾滋病感染者生活质量的最重要因素，但大多数关于艾滋病病毒/艾滋病感染者社会支持与生活质量影响的研究主要基于横断面设计。
本研究为非随机对照社区干预研究。
2013年12月至2014年12月期间，在北京佑安医院被诊断为艾滋病病毒/艾滋病感染者的参与者接受了全面的社会支持关怀。为评估社会支持与关怀模式对艾滋病病毒/艾滋病感染者的影响，本研究分析了干预前后社会支持量表不同维度得分及生活质量情况。分析了社会支持净效益值与各维度生活质量净效益值之间的相关性。
社会支持的客观支持得分及支持利用度得分存在显著差异（均p = 0.02）。干预后客观支持得分净值及支持利用度净值分别为0.25和0.19。生活质量的生理功能、角色生理、总体健康、活力、社会功能、心理健康、健康转变及总分均存在显著差异（均p < 0.05）。社会支持净值与生活质量的典型相关分析表明，第一和第二典型相关具有统计学意义，相关系数分别为0.53（p = 0.00）和0.21（p = 0.04）。
社会支持与关怀干预模式可有效改善艾滋病病毒/艾滋病感染者对社会支持的主观感受及生活质量状况。强烈鼓励改进社会支持与关怀干预项目的策略。
该方法简单且成本效益高，可能是改善艾滋病病毒/艾滋病感染者生活质量状况之路。
