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艾滋病毒/艾滋病感染者的生活质量、社会经济和临床因素以及体育锻炼

Quality of life, socioeconomic and clinical factors, and physical exercise in persons living with HIV/AIDS.

作者信息

Medeiros Rafaela Catherine da Silva Cunha de, Medeiros Jason Azevedo de, Silva Tatiane Andreza Lima da, Andrade Ricardo Dias de, Medeiros Danielle Coutinho de, Araújo Juliany de Souza, Oliveira Antônio Manuel Gouveia de, Costa Marcos Aurélio de Albuquerque, Dantas Paulo Moreira Silva

机构信息

Programa de Pós-Graduação em Ciências da Saúde. Universidade Federal do Rio Grande do Norte. Natal, RN, Brasil.

Curso de Educação Física. Centro Universitário do Rio Grande do Norte. Natal, RN, Brasil.

出版信息

Rev Saude Publica. 2017 Jul 20;51:66. doi: 10.1590/S1518-8787.2017051006266.

DOI:10.1590/S1518-8787.2017051006266
PMID:28746573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5510782/
Abstract

OBJECTIVE

To analyze whether socioeconomic and clinical aspects and the aspects of healthy life habits are associated with the quality of life of persons living with HIV/AIDS.

METHODS

This is a cross-sectional exploratory quantitative research, with 227 persons living with HIV/AIDS, treated at two hospitals of reference between April 2012 and June 2014. We used structured questionnaires to assess socioeconomic aspects (gender, age, education level, marital status, race, socioeconomic status, dependents on family income, employment relationship), clinical parameters (time of disease diagnosis, use and time of medication, CD4 T-cell count, and viral load), and practice of physical exercise. To assess quality of life, we used the Quality of Life questionnaire (HAT-QoL). For characterization of the socioeconomic and clinical data and domains of quality of life, we conducted a descriptive analysis (simple frequency, averages, and standard deviations). We applied linear regression, following a hierarchical model for each domain of quality of life.

RESULTS

The domains that presented lower averages for quality of life were financial concern, concern with confidentiality, general function, and satisfaction with life. We found associations with the variables of socioeconomic status and physical exercise, therapy, and physical exercise for the last two domains, consecutively.

CONCLUSIONS

The quality of life of persons living with HIV/AIDS shows losses, especially in the financial and confidentiality areas, followed by general function of the body and satisfaction with life, in which socioeconomic and clinical aspects and healthy living habits, such as the practice of physical exercise, are determining factors for this reality.

OBJETIVO

Analisar se aspectos socioeconômicos, clínicos e de hábitos de vida saudável estão associados à qualidade de vida em pessoas vivendo com HIV/aids.

MÉTODOS: Pesquisa quantitativa exploratória de corte transversal, com 227 pessoas vivendo com HIV/aids, atendidos em dois hospitais de referência entre os períodos de abril 2012 a junho de 2014. Foram utilizados questionários estruturados para avaliar aspectos socioeconômicos (sexo, idade, escolaridade, estado civil, cor de pele, status socioeconômico, dependentes da renda familiar, vínculo empregatício), parâmetros clínicos (tempo de diagnóstico da doença, uso e tempo de medicação, contagem de células TCD4 e carga viral) e prática de exercício físico. Para avaliar qualidade de vida, utilizou-se o questionário Quality of Life (HAT-QoL). Para caracterização dos dados socioeconômicos, clínicos e domínios da qualidade de vida, conduzimos análise descritiva (frequência simples, médias e desvios-padrão). Aplicamos regressão linear, seguindo um modelo hierárquico para cada domínio da qualidade de vida.

RESULTADOS

Os domínios que apresentaram menores médias para a qualidade de vida foram preocupação financeira, preocupação com sigilo, função geral e satisfação com a vida. Foram encontradas associações com as variáveis status socioeconômico e exercício físico; terapia; e exercício físico para os dois últimos domínios, consecutivamente.

CONCLUSÕES: A qualidade de vida de pessoas vivendo com HIV/aids apresentam prejuízos, principalmente nas questões financeiras e de sigilo, seguidos da função geral do corpo e satisfações com a vida, em que os aspectos socioeconômicos, clínicos e hábitos de vida saudável, como a prática de exercício físico, são fatores determinantes para essa realidade.

摘要

目的

分析社会经济、临床方面以及健康生活习惯方面是否与艾滋病毒/艾滋病感染者的生活质量相关。

方法

这是一项横断面探索性定量研究,研究对象为2012年4月至2014年6月期间在两家参考医院接受治疗的227名艾滋病毒/艾滋病感染者。我们使用结构化问卷来评估社会经济方面(性别、年龄、教育水平、婚姻状况、种族、社会经济地位、家庭收入抚养人数、就业关系)、临床参数(疾病诊断时间、用药情况和时间、CD4 T细胞计数以及病毒载量)以及体育锻炼情况。为评估生活质量,我们使用了生活质量问卷(HAT-QoL)。为描述社会经济和临床数据以及生活质量领域,我们进行了描述性分析(简单频率、平均值和标准差)。我们应用线性回归,并针对生活质量的每个领域采用分层模型。

结果

生活质量平均得分较低的领域是经济担忧、对隐私的担忧、总体功能以及对生活的满意度。我们分别发现了社会经济地位变量与体育锻炼、治疗以及体育锻炼(针对最后两个领域)之间的关联。

结论

艾滋病毒/艾滋病感染者的生活质量存在受损情况,尤其是在经济和隐私方面,其次是身体的总体功能和对生活的满意度,其中社会经济、临床方面以及健康生活习惯,如体育锻炼,是造成这一现状的决定性因素。

目的

分析社会经济、临床和健康生活习惯方面是否与艾滋病毒/艾滋病患者的生活质量相关。

方法

这是一项横断面探索性定量研究,有227名艾滋病毒/艾滋病患者参与,他们在2012年4月至2014年6月期间在两家参考医院接受治疗。使用结构化问卷来评估社会经济方面(性别、年龄、教育程度、婚姻状况、肤色、社会经济地位、家庭收入抚养人数、就业关系)、临床参数(疾病诊断时间、用药情况和时间、CD4 T细胞计数和病毒载量)以及体育锻炼情况。为评估生活质量,使用了生活质量问卷(HAT-QoL)。为描述社会经济、临床数据以及生活质量领域,我们进行了描述性分析(简单频率、平均值和标准差)。我们应用线性回归,并针对生活质量的每个领域采用分层模型。

结果

生活质量平均得分较低的领域是经济担忧、对隐私的担忧、总体功能和对生活的满意度。分别发现了社会经济地位变量与体育锻炼、治疗以及体育锻炼(针对最后两个领域)之间的关联。

结论

艾滋病毒/艾滋病患者的生活质量存在损害,主要体现在经济和隐私问题上,其次是身体的总体功能和对生活的满意度,其中社会经济、临床方面以及健康生活习惯,如体育锻炼,是造成这一现实的决定性因素。

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