Nunes J A, Raymond S J, Nicholas P K, Leuner J D, Webster A
J Holist Nurs. 1995 Jun;13(2):174-98. doi: 10.1177/089801019501300207.
The purpose of this study was to examine the relationship between social support and quality of life in individuals with HIV. Using a descriptive, correlational design, data were collected from 50 HIV-positive individuals who were: (a) participants in support groups at a behavioral medicine unit, (b) inpatient or respite care patients with HIV, or (c) respondents to advertisements at AIDS service organizations. Instruments used for data collection were the Personal Resource Questionnaire 85-Part 2 (Weinert, 1987), measuring perceived social support, and the Quality of Life Index (QLI) (Ferrans & Powers, 1985), measuring the sense of well-being in life including the satisfaction with and importance of life domains with four subscales: health and functioning, socioeconomic, psychological/spiritual, and family. The results of the study indicated that social support was significantly correlated with quality of life (r = 0.81, p < 0.0001). Further, HIV status (asymptomatic HIV, symptomatic HIV, AIDS) was significantly related to quality of life (p < 0.01). However, HIV status was not significantly related to social support. No significant relationship was found between CD4 counts and HIV status, CD4 counts and social support, or CD4 counts and perceived health status. However, CD4 counts were significantly correlated with scores on the QLI. The findings of the study indicate that social support and quality of life are significantly intercorrelated and that higher CD4 counts are related to quality of life in this sample of persons living with HIV. Further areas for research include evaluation of quality of life over the span of HIV disease and interventions aimed at enhancing or maintaining quality of life in persons across the spectrum of HIV disease.
本研究的目的是探讨感染艾滋病毒个体的社会支持与生活质量之间的关系。采用描述性、相关性设计，从50名艾滋病毒呈阳性的个体中收集数据，这些个体包括：(a)行为医学科支持小组的参与者；(b)艾滋病毒住院患者或临时护理患者；(c)艾滋病服务组织广告的受访者。用于数据收集的工具包括个人资源问卷85-第二部分（韦纳特，1987年），用于测量感知到的社会支持；以及生活质量指数（QLI）（费兰斯和鲍尔斯，1985年），用于测量生活中的幸福感，包括对生活领域的满意度和重要性，该指数有四个子量表：健康与功能、社会经济、心理/精神和家庭。研究结果表明，社会支持与生活质量显著相关（r = 0.81，p < 0.0001）。此外，艾滋病毒状态（无症状艾滋病毒、有症状艾滋病毒、艾滋病）与生活质量显著相关（p < 0.01）。然而，艾滋病毒状态与社会支持无显著相关性。在CD4细胞计数与艾滋病毒状态、CD4细胞计数与社会支持、或CD4细胞计数与感知健康状态之间未发现显著关系。然而，CD4细胞计数与QLI得分显著相关。研究结果表明，社会支持和生活质量显著相互关联，在这个艾滋病毒感染者样本中，较高的CD4细胞计数与生活质量相关。进一步的研究领域包括评估艾滋病毒疾病全过程的生活质量，以及旨在提高或维持艾滋病毒疾病各阶段患者生活质量的干预措施。
