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抗逆转录病毒治疗诊所中人类免疫缺陷病毒和获得性免疫缺陷综合征患者的生活质量

Quality of Life among People Living with Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome in a Anti-Retroviral Therapy Clinic.

作者信息

Baral Rojina, Thapa Usha, Khatiwada Dipendra

机构信息

Department of Nursing, College of Medical Sciences Bharatpur ,Chitwan, Nepal.

Shree Medical and Technical College, Bharatpur, Chitwan, Nepal.

出版信息

J Nepal Health Res Counc. 2019 Jan 28;16(41):405-409.

PMID:30739930
Abstract

BACKGROUND

The increasing burden of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome and its association with the stigma, disability, less productive life, diminished immune has overall affected the quality of well being. There are also many factors that directly or indirectly affect the quality of Life of People living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome. Thus, this study aims to assess Quality of Life among people living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome.

METHODS

A cross-sectional analytical study among 100 individuals of age 18 years and above and diagnosed from 6 month and above attending the ART clinic of Bharatpur Hospital was carried out between using simple random sampling technique. Quality of life was evaluated using World Health Organization Quality of life questionnaire (WHO QOL-BREF instrument).

RESULTS

This study reveals that the Quality of Life median scores were highest for the environmental domain (25±2.6) and lowest for the social domain (11±1.4). The overall Quality of Life median scores in the other two domains were physical domain (23±2.4), and psychological domain (19±3.1). The Quality of Life scores of all four domains were strongly co-related with the total measure of the quality of life. The strongest correlation was seen in psychological domain .Sex, Education, Marital status, Cause of HIV, Co-morbidities of illness, and Family support was statistically associated with overall Quality of Life.

CONCLUSIONS

Higher education, Good family support and no co-morbidties to the illness has a greater impact in improving the quality of Life.

摘要

背景

人类免疫缺陷病毒/获得性免疫缺陷综合征负担日益加重,且与耻辱感、残疾、生活生产力下降、免疫力降低相关,总体影响了幸福生活质量。还有许多因素直接或间接影响着人类免疫缺陷病毒/获得性免疫缺陷综合征感染者的生活质量。因此,本研究旨在评估人类免疫缺陷病毒/获得性免疫缺陷综合征感染者的生活质量。

方法

采用简单随机抽样技术,对巴拉特布尔医院抗逆转录病毒治疗门诊100名18岁及以上、确诊6个月及以上的患者进行横断面分析研究。使用世界卫生组织生活质量问卷(WHO QOL-BREF量表)评估生活质量。

结果

本研究显示,生活质量中位数得分在环境领域最高(25±2.6),在社会领域最低(11±1.4)。其他两个领域的总体生活质量中位数得分分别为身体领域(23±2.4)和心理领域(19±3.1)。所有四个领域的生活质量得分与生活质量总分高度相关。心理领域的相关性最强。性别、教育程度、婚姻状况、感染艾滋病毒的原因、疾病合并症以及家庭支持与总体生活质量在统计学上相关。

结论

高等教育、良好的家庭支持以及无疾病合并症对提高生活质量有更大影响。

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