CAJ | 학술논문

目的评估北京市HIV感染者及AIDS患者(PLWHA)生存质量状况及其影响因素.方法于2010年9-12月间,采用方便抽样法选取现居住于北京市的PLWHA共310例,通过一般情况问卷、SF-36生存质量量表和Berger-HⅣ耻辱量表对其进行调查,采用t检验、多元线性回归等方法对调查结果进行分析.结果调查对象年龄为( 32.87±8.76)岁,感染途径以同性性行为为主(84.52％,262/310).SF-36生存质量总分为(66.75±15.70)分,躯体功能、躯体角色、躯体疼痛、总体健康、活力、社会功能、情感角色、心理健康8个维度得分分别为(93.00±9.49)、(66.53±40.26)、(73.88±22.63)、(50.06±22.75)、(61.11±19.67)、(69.50±24.24)、( 59.68±42.38)、(60.63±19.81)分.除躯体功能维度外,PLWHA的生存质量各维度得分均低于常模(P＜0.05).多元回归分析结果显示,耻辱感越高,生存质量总分[标准化偏回归系数(β＇)=-0.38]、躯体角色(β＇=-0.21)、躯体疼痛(β＇=-0.13)、总体健康(β＇=-0.33)、活力(β＇=-0.31)、社会功能(β＇=-0.34)、情感角色(β＇=-0.31)、心理健康(β’=-0.47)得分越低(P值均＜0.05)；治疗AIDS及相关疾病花费越高,生存质量总分(β＇=-0.17)、躯体功能(β＇=-0.28)、躯体角色(β＇=-0.15)、躯体疼痛(β＇=-0.19)、总体健康(β＇=-0.15)、社会功能(β＇=-0.11)、情感角色(β’=-0.16)得分越低(P值均＜0.05)；有工作者生存质量总分(β＇=0.13)、躯体功能(β＇=0.13)、躯体角色(β＇=0.12)、躯体疼痛(β＇=0.12)、活力(β＇＝0.13)、社会功能(β＇=0.12)、情感角色(β＇=0.12)高于无T作者(P值均＜0.05).结论 PLWHA的生存质量较低,耻辱感强、治疗费用高、无工作等是主要不利因素.
목적 평고북경시HIV감염자급AIDS환자(PLWHA)생존질량상황급기영향인소.방법 우2010년9-12월간,채용방편추양법선취현거주우북경시적PLWHA공310례,통과일반정황문권、SF-36생존질량량표화Berger-HⅣ치욕량표대기진행조사,채용t검험、다원선성회귀등방법대조사결과진행분석.결과 조사대상년령위( 32.87±8.76)세,감염도경이동성성행위위주(84.52％,262/310).SF-36생존질량총분위(66.75±15.70)분,구체공능、구체각색、구체동통、총체건강、활력、사회공능、정감각색、심리건강8개유도득분분별위(93.00±9.49)、(66.53±40.26)、(73.88±22.63)、(50.06±22.75)、(61.11±19.67)、(69.50±24.24)、( 59.68±42.38)、(60.63±19.81)분.제구체공능유도외,PLWHA적생존질량각유도득분균저우상모(P＜0.05).다원회귀분석결과현시,치욕감월고,생존질량총분[표준화편회귀계수(β＇)=-0.38]、구체각색(β＇=-0.21)、구체동통(β＇=-0.13)、총체건강(β＇=-0.33)、활력(β＇=-0.31)、사회공능(β＇=-0.34)、정감각색(β＇=-0.31)、심리건강(β’=-0.47)득분월저(P치균＜0.05)；치료AIDS급상관질병화비월고,생존질량총분(β＇=-0.17)、구체공능(β＇=-0.28)、구체각색(β＇=-0.15)、구체동통(β＇=-0.19)、총체건강(β＇=-0.15)、사회공능(β＇=-0.11)、정감각색(β’=-0.16)득분월저(P치균＜0.05)；유공작자생존질량총분(β＇=0.13)、구체공능(β＇=0.13)、구체각색(β＇=0.12)、구체동통(β＇=0.12)、활력(β＇＝0.13)、사회공능(β＇=0.12)、정감각색(β＇=0.12)고우무T작자(P치균＜0.05).결론 PLWHA적생존질량교저,치욕감강、치료비용고、무공작등시주요불리인소.
Objective To assess the quality of life of people living with HIV or AIDS(PLWHA) and to identify influencing factors.Methods During September to December 2010,by a convenience sampling,a questionnaire survey was undertaken in 310 PLWHA living in Beijing,which included the general questionnaires,SF-36 for assessing quality of life and Berger-HIV stigma scale.T test and multivariable linearregression model were used to analyze the results.Results For the subjects investigated,the age was(32.87 ± 8.76 ) years old.Homosexual behavior was the main dissemination ( 84.52％,262/310 ).Theresults of SF-36 questionnaire were:the summary score 66.75 ± 15.70; physical function 93.00 ± 9.49,rolephysical 66.53 ±40.26,bodily pain 73.88 ±22.63,general health 50.06 ±22.75,vitality 61.11 ± 19.67,social function 69.50 ±24.24,role emotional 59.68 ±42.38,mental health 60.63 ± 19.81.Except physicalfunctioning,the scores of every scale were lower than general persons (P ＜ 0.05 ).Multivariable linearregression analysis showed that the stronger stigma,the lower the summary score (standardized coefficients(β＇ ) =- 0.38 ),role physical (β＇ =- 0.21 ),bodily pain (β＇ =- 0.13 ),general health (β＇ =- 0.33 ),vitality(β＇ =- 0.31 ),social function (β＇ =- 0.34 ),role emotional (β＇ =- 0.31 ),mental health (β＇ =- 0.47) ( all P values ＜ 0.05 ).The higher expend on treating HIV,the lower the summary score (β＇ =-0.17),physical function(β＇ =-0.28),role physical(β＇ =-0.15),bodily pain(β＇ =-0.19),generalhealth (β＇ =- 0.15 ),social function (β＇＝ - 0.11 ),role emotional (β＇＝ - 0.16 ) ( all P values ＜ 0.05 ).Who having work got higher score in the summary score(β＇ =0.13),physical function(β＇ =0.13),role physical(β＇ =0.12 ),bodily pain (β＇ =0.12 ),vitality (β＇ =0.13 ),social function (β＇ =0.12 ),role emotional(β＇ =0.12) than others( all P values ＜0.05).Conclusion The quality of PLWHA's life was low.High stigma feeling,high expend on treating HIV,having a job were the main influencing factors ofquality of life in PLWHA.