Moreno-Montoya José, Barragán Ana M, Martínez Margin, Rodríguez Amanda, González Ángela Carmela
Grupo de Medicina Comunitaria, Universidad El Bosque, Bogotá, D.C., Colombia.
Biomedica. 2018 Dec 1;38(4):577-585. doi: 10.7705/biomedica.v38i4.3819.
Introduction: People living with HIV/AIDS in developing countries tend to have a lower quality of life and less social support compared with those in developed countries. Objective: To explore the association between affective social support or social support generating confidence and each dimension of the quality of life related to health among people with HIV/AIDS from Bogotá. Materials and methods: We conducted a cross-sectional study of people living with HIV/AIDS using convenience sampling of a care program in a hospital network in Bogotá. The quality of life questionnaire SF36 and the generic social support questionnaire Duke-UNC-11 were used, along with linear regression models for the analyses. Results: There was a direct relationship between the emotional well-being dimension of quality of life and the social support systems of affectivity (ß =7.36;95% CI: 1.04; 13.68) and those generating confidence (ß =11.63;95% CI: 5.30; 17.96). There was a correlation between the dimensions of physical function, emotional performance, pain, and perceived affective social support. Likewise, we detected relations between the perception of social support generating confidence and the dimensions of vitality and social function. Contrarily, we found an inverse relationship between the averages of the dimension of emotional performance and the perceived affective social support, as well as between the dimension of physical performance and general health with social support generating confidence. Conclusions: Subjects with higher levels of social support had higher levels of quality of life related to health. This finding offers an opportunity for the design and implementation of healthcare plans that incorporate clinical, para-clinical and environmental variables of the patient.
与发达国家的艾滋病毒/艾滋病感染者相比,发展中国家的艾滋病毒/艾滋病感染者往往生活质量较低,社会支持较少。目的:探讨情感社会支持或产生信心的社会支持与波哥大艾滋病毒/艾滋病感染者健康相关生活质量各维度之间的关联。材料与方法:我们采用便利抽样法,对波哥大一家医院网络护理项目中的艾滋病毒/艾滋病感染者进行了横断面研究。使用了生活质量问卷SF36和通用社会支持问卷杜克-北卡罗来纳-11,并采用线性回归模型进行分析。结果:生活质量的情感幸福维度与情感社会支持系统(β = 7.36;95%置信区间:1.04;13.68)以及产生信心的社会支持系统(β = 11.63;95%置信区间:5.30;17.96)之间存在直接关系。身体功能、情感表现、疼痛和感知到的情感社会支持维度之间存在相关性。同样,我们发现产生信心的社会支持感知与活力和社会功能维度之间存在关系。相反,我们发现情感表现维度的平均值与感知到的情感社会支持之间以及身体表现维度和总体健康与产生信心的社会支持之间存在反比关系。结论:社会支持水平较高的受试者健康相关生活质量水平较高。这一发现为设计和实施纳入患者临床、准临床和环境变量的医疗保健计划提供了机会。