在印度艾滋病优质护理中心接受抗逆转录病毒治疗的艾滋病毒/艾滋病患者的生活质量。

Quality of life of people living with HIV/AIDS attending antiretroviral clinic in the center of excellence in HIV care in India.

作者信息

Sarkar Trinath, Karmakar Nabarun, Dasgupta Aparajita, Saha Bibhuti

机构信息

Department of Community Medicine, Medical College, Kolkata, West Bengal, India.

Department of Community Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Agartala, Tripura, India.

出版信息

J Educ Health Promot. 2019 Nov 29;8:226. doi: 10.4103/jehp.jehp_80_19. eCollection 2019.

DOI:10.4103/jehp.jehp_80_19

PMID:31867390

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6905283/

Abstract

INTRODUCTION

HIV/AIDS is a serious challenge globally. A plethora of morbidities due to crippling immune system reduces quality of life (QOL). The advent of highly active antiretroviral treatment has changed this deadly disease to a chronic manageable illness with focus shifting from fighting virus to ensuring a good QOL.

OBJECTIVE

To assess the QOL among people living with HIV/AIDS (PLHA) and factors influencing, if any in Indian setting.

MATERIALS AND METHODS

An institutional-based cross-sectional study was carried out among 220 PLHA (male >15 years) attending Anti-Retroviral Therapy Centre of the center of excellence in HIV care in India (Calcutta School of Tropical Medicine, Kolkata) from May 2012 to April 2013. QOL was assessed using WHO-QOL-BREF questionnaire from January 2013 to December 2013. Statistical analysis was done using SPSS version 16; multivariate logistic regression was computed with adjusted odds ratio in 95% confidence interval; < 0.05 was considered statistically significant.

RESULTS

In this study, all 220 PLHA men participated (response rate 96.5%) where more than half (55.5%) participants rated their QOL as neither poor nor good; only 28.2% replied good. One-third (38.6%) were dissatisfied while only one-fifth (19.1%) satisfied and 41.4% mentioned neither satisfied nor dissatisfied with their health. Mean score ± standard deviation on various domains and facets of WHOQOL-BREF were physical health score 56.2 ± 9.8, psychological health 63.1 ± 8.7, social relationship 48.9 ± 14.8, and environmental health 51.3 ± 13.7.

CONCLUSION

PLHA had good QOL on psychological, physical, and environmental domain that reflects better services provided at Calcutta School of Tropical Medicine (CSTM), Kolkata, but they scored poorly in social relationship domain, which may be suggestive of ineffective social services network. This study concludes that increase existing social and emotional support with innovation should be implemented to improve their QOL.

摘要

引言

艾滋病毒/艾滋病是全球面临的一项严峻挑战。免疫系统受损导致多种疾病，降低了生活质量（QOL）。高效抗逆转录病毒治疗的出现已将这种致命疾病转变为一种可慢性控制的疾病，重点从对抗病毒转向确保良好的生活质量。

目的

评估印度环境下艾滋病毒/艾滋病感染者（PLHA）的生活质量以及影响因素（若有）。

材料与方法

2012年5月至2013年4月，在印度加尔各答热带医学院（印度艾滋病毒护理卓越中心的抗逆转录病毒治疗中心）就诊的220名年龄大于15岁的男性艾滋病毒/艾滋病感染者中开展了一项基于机构的横断面研究。2013年1月至12月使用世界卫生组织生活质量简表（WHO-QOL-BREF）对生活质量进行评估。使用SPSS 16版进行统计分析；计算多因素逻辑回归，调整后的比值比在95%置信区间内；P<0.05被认为具有统计学意义。

结果

本研究中，所有220名男性艾滋病毒/艾滋病感染者均参与（应答率96.5%），其中超过一半（55.5%）的参与者将其生活质量评为既不差也不好；只有28.2%的人回答良好。三分之一（38.6%）的人不满意，而只有五分之一（19.1%）的人满意，41.4%的人表示对自己的健康既不满意也不不满意。世界卫生组织生活质量简表各领域和方面的平均得分±标准差为：身体健康得分56.2±9.8，心理健康63.1±8.7，社会关系48.9±14.8，环境健康51.3±13.7。