Onyekonwu Chinwe Laura, Onyeka Tonia Chinyelu, Brenda Nwatu Chidimma, Ijoma Uchenna Nkemdilim, Unaogu Ngozichukwu Nneka, Onwuekwe Ikenna Obinwanne, Ugwumba Fred, Nwutobo Chidimma Rhoda, Nwachukwu Chioma Victoria
Sub-Department of Dermatology, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
Department of Anaesthesia/Pain and palliative Care Unit, Multidisciplinary Oncology Center, College of Medicine, UNTH, Ituku-Ozalla Campus, Enugu, Nigeria.
Afr Health Sci. 2020 Mar;20(1):102-113. doi: 10.4314/ahs.v20i1.15.
Health-related quality of life reflects a patient's general subjective perception of the effect of an illness or intervention on physical, psychological and social aspects of daily life. HIV infection is a major public health problem especially in developing countries where poor health infrastructure and poverty are prevalent. This paper addresses the quality of life in patients with chronic HIV infection in South East Nigeria and addresses issues that may help improve the current situation.
A cross-sectional survey was carried out at the University of Nigeria Teaching Hospital, Enugu, to assess patients with HIV receiving antiretroviral therapy (ART) using a validated structured questionnaire (WHOQoL-BREF). Ethical clearance for the study was obtained. Study period was from October - December, 2017. Data obtained was analysed.
A total of 389 HIV patients consented to the study. Over 70% were aged 18- 45 years and majority were females. Females had a higher quality of life score with respect to the domain of psychological health while males had a higher score with respect to the environmental domain. Older age and presence of co-morbidities were significantly associated with affectation of physical health while younger age was associated with affectation of psychological health domain.
HIV impairs the quality of life for affected individuals in South East Nigeria especially across the domains of physical and psychological health. No age group is spared. The presence of co-morbidities significantly reduces quality of life in these patients. Younger patients may require mental health services in the management of their disease.
健康相关生活质量反映了患者对疾病或干预措施对日常生活的身体、心理和社会方面影响的总体主观感受。艾滋病毒感染是一个主要的公共卫生问题，尤其是在卫生基础设施薄弱和贫困普遍存在的发展中国家。本文探讨了尼日利亚东南部慢性艾滋病毒感染患者的生活质量，并探讨了可能有助于改善当前状况的问题。
在埃努古的尼日利亚大学教学医院进行了一项横断面调查，使用经过验证的结构化问卷（WHOQoL-BREF）评估接受抗逆转录病毒治疗（ART）的艾滋病毒患者。获得了该研究的伦理批准。研究期为2017年10月至12月。对获得的数据进行了分析。
共有389名艾滋病毒患者同意参与该研究。超过70%的患者年龄在18至45岁之间，大多数为女性。在心理健康领域，女性的生活质量得分较高，而在环境领域，男性的得分较高。年龄较大和存在合并症与身体健康受到影响显著相关，而年龄较小与心理健康领域受到影响相关。
艾滋病毒损害了尼日利亚东南部受影响个体的生活质量，尤其是在身体和心理健康领域。没有哪个年龄组能幸免。合并症的存在显著降低了这些患者的生活质量。年轻患者在疾病管理中可能需要心理健康服务。
