CAJ | 학술논문

目的了解昆明市HIV感染者及AIDS患者生存质量及其影响因素.方法于2011年3-4月期间,采用方便抽样法从云南省CDC、云南省传染病院、昆明市传染病院抽取247例HIV感染者及AIDS患者,并采用一般情况问卷、简体中文版MOS-HIV量表(MOS-HIV,共包含11个维度)和社会支持评定量表进行调查,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(39.8±11.9)岁,感染期间症状数的中位数(四分位数间距)值为1(2)个.MOS-HIV调查生存质量得分中,躯体状况得分为(47.4±11.2)分,精神状况为(43.6±9.7)分；MOS-HIV的11个维度,即总体健康感觉、躯体功能、角色功能、社会功能、认知功能、疼痛、心理健康、精力或疲劳、健康压力、生活质量、健康转换的得分分别为(42.9±19.9)、(79.4±24.9)、(59.8±48.2)、(67.0±33.6)、(71.0±25.4)、(81.3±26.2)、(62.0±22.3)、(49.3±23.8)、(74.4±21.0)、(51.8±21.1)、(49.0±29.8)分.社会支持情况总得分为(28.6±7.6)分,其中,主观支持得分为(17.2±6.3),客观支持得分为(5.9±2.2)分,对支持利用度得分为(5.5±1.9)分.多元线性回归分析显示,感染期间症状数越多,躯体状况(b'=-0.22)、总体健康感觉(b'=-0.31)、躯体功能(b'=-0.16)、角色功能(b'=-0.23)、疼痛(b'=-0.21)、心理健康(b'=-0.22)、精力或疲劳(b'=-0.22)和健康压力(b'=-0.24)得分越低(P值均＜0.05)；年龄越大,调查对象躯体状况(b'=-0.16)、精神状况(b'=-0.16)、躯体功能(b'=-0.26)、精力或疲劳(b'=-0.26)和生活质量(b'=-0.17)得分越低(P值均＜0.05)；主观支持得分越高,躯体状况(b'=0.26)、精神状况(b'=0.22)、总体健康感觉(b'=0.27)、社会功能(b'=0.26)、心理健康(b'=0.15)和生活质量(b'=0.22)得分越高(P值均＜0.05)；对支持利用得分越高,躯体功能(b'=0.16)和健康转换(b'=0.31)得分越高(P值均＜0.05).结论昆明市HIV感染者及AIDS患者生存质量较差,感染期间症状数多、年龄大、主观支持得分低等是其危害因素. 目的瞭解昆明市HIV感染者及AIDS患者生存質量及其影響因素.方法于2011年3-4月期間,採用方便抽樣法從雲南省CDC、雲南省傳染病院、昆明市傳染病院抽取247例HIV感染者及AIDS患者,併採用一般情況問捲、簡體中文版MOS-HIV量錶(MOS-HIV,共包含11箇維度)和社會支持評定量錶進行調查,採用t檢驗、多元線性迴歸等方法對調查結果進行分析.結果調查對象年齡為(39.8±11.9)歲,感染期間癥狀數的中位數(四分位數間距)值為1(2)箇.MOS-HIV調查生存質量得分中,軀體狀況得分為(47.4±11.2)分,精神狀況為(43.6±9.7)分；MOS-HIV的11箇維度,即總體健康感覺、軀體功能、角色功能、社會功能、認知功能、疼痛、心理健康、精力或疲勞、健康壓力、生活質量、健康轉換的得分分彆為(42.9±19.9)、(79.4±24.9)、(59.8±48.2)、(67.0±33.6)、(71.0±25.4)、(81.3±26.2)、(62.0±22.3)、(49.3±23.8)、(74.4±21.0)、(51.8±21.1)、(49.0±29.8)分.社會支持情況總得分為(28.6±7.6)分,其中,主觀支持得分為(17.2±6.3),客觀支持得分為(5.9±2.2)分,對支持利用度得分為(5.5±1.9)分.多元線性迴歸分析顯示,感染期間癥狀數越多,軀體狀況(b'=-0.22)、總體健康感覺(b'=-0.31)、軀體功能(b'=-0.16)、角色功能(b'=-0.23)、疼痛(b'=-0.21)、心理健康(b'=-0.22)、精力或疲勞(b'=-0.22)和健康壓力(b'=-0.24)得分越低(P值均＜0.05)；年齡越大,調查對象軀體狀況(b'=-0.16)、精神狀況(b'=-0.16)、軀體功能(b'=-0.26)、精力或疲勞(b'=-0.26)和生活質量(b'=-0.17)得分越低(P值均＜0.05)；主觀支持得分越高,軀體狀況(b'=0.26)、精神狀況(b'=0.22)、總體健康感覺(b'=0.27)、社會功能(b'=0.26)、心理健康(b'=0.15)和生活質量(b'=0.22)得分越高(P值均＜0.05)；對支持利用得分越高,軀體功能(b'=0.16)和健康轉換(b'=0.31)得分越高(P值均＜0.05).結論昆明市HIV感染者及AIDS患者生存質量較差,感染期間癥狀數多、年齡大、主觀支持得分低等是其危害因素.
목적 료해곤명시HIV감염자급AIDS환자생존질량급기영향인소.방법 우2011년3-4월기간,채용방편추양법종운남성CDC、운남성전염병원、곤명시전염병원추취247례HIV감염자급AIDS환자,병채용일반정황문권、간체중문판MOS-HIV량표(MOS-HIV,공포함11개유도)화사회지지평정량표진행조사,채용t검험、다원선성회귀등방법대조사결과진행분석.결과 조사대상년령위(39.8±11.9)세,감염기간증상수적중위수(사분위수간거)치위1(2)개.MOS-HIV조사생존질량득분중,구체상황득분위(47.4±11.2)분,정신상황위(43.6±9.7)분；MOS-HIV적11개유도,즉총체건강감각、구체공능、각색공능、사회공능、인지공능、동통、심리건강、정력혹피로、건강압력、생활질량、건강전환적득분분별위(42.9±19.9)、(79.4±24.9)、(59.8±48.2)、(67.0±33.6)、(71.0±25.4)、(81.3±26.2)、(62.0±22.3)、(49.3±23.8)、(74.4±21.0)、(51.8±21.1)、(49.0±29.8)분.사회지지정황총득분위(28.6±7.6)분,기중,주관지지득분위(17.2±6.3),객관지지득분위(5.9±2.2)분,대지지이용도득분위(5.5±1.9)분.다원선성회귀분석현시,감염기간증상수월다,구체상황(b'=-0.22)、총체건강감각(b'=-0.31)、구체공능(b'=-0.16)、각색공능(b'=-0.23)、동통(b'=-0.21)、심리건강(b'=-0.22)、정력혹피로(b'=-0.22)화건강압력(b'=-0.24)득분월저(P치균＜0.05)；년령월대,조사대상구체상황(b'=-0.16)、정신상황(b'=-0.16)、구체공능(b'=-0.26)、정력혹피로(b'=-0.26)화생활질량(b'=-0.17)득분월저(P치균＜0.05)；주관지지득분월고,구체상황(b'=0.26)、정신상황(b'=0.22)、총체건강감각(b'=0.27)、사회공능(b'=0.26)、심리건강(b'=0.15)화생활질량(b'=0.22)득분월고(P치균＜0.05)；대지지이용득분월고,구체공능(b'=0.16)화건강전환(b'=0.31)득분월고(P치균＜0.05).결론 곤명시HIV감염자급AIDS환자생존질량교차,감염기간증상수다、년령대、주관지지득분저등시기위해인소.
Objective To explore the quality of life among people living with HIV/AIDS (PLWHA) and analyze the influencing factors in Kunming.Methods A cross-sectional survey was conducted from March to April in year 2011,and 247 PLWHA were selected by convenience sampling from Yunnan CDC,Yunnan and Kunming infectious disease hospitals.General questionnaires,the simplified Chinese edition of medical outcomes study-HIV health survey (MOS-HIV,including 11 dimensions) and Social Support Scale were used.t test and multivariable linear regression model were used to analyze the results.Results For the subjects investigated,the age was (39.8 ± 11.9) years old,the median(quartile)value of symptoms related to HIV infection was 1 ( 2).As to the scores of quality of life measured by MOS-HIV,physical summary score was 47.4 ± 11.2,mental summary score was 43.6 ± 9.7 ; for the scores of 11 dimensions of the MOS-HIV,that were general health (42.9 ± 19.9),physical function (79.4 ±24.9),role function (59.8 ± 48.2),social function ( 67.0 -± 33.6 ),cognitive function ( 71.0 -± 25.4 ),pain ( 81.3 ±26.2),mental health ( 62.0 ± 22.3 ),vitality ( 49.3 ± 23.8 ),health distress ( 74.4 ± 21.0 ),quality of life (51.8 ± 21.1 ),health transition (49.0 ± 29.8 ).The total score of social support was 28.6 ± 7.6,of which the score of subjective social support was 17.2 ± 6.3,the score of the objective social support was 5.9 ± 2.2 ;the score of the utilization of social support was 5.5 ± 1.9.Multivariable linear regression analysis showed that the more the symptoms related to HIV infection,the lower the physical summary scores ( standardized coefficients b' =-0.22),the general health (b' =-0.31 ),the physical function(b' =-0.16),the role function ( b' =- 0.23 ),the pain ( b' =- 0.21 ),the mental health ( b' =- 0.22 ),the vitality ( b' =- 0.22 )and the health distress scores ( b' =- 0.24 ) ( all P values ＜ 0.05 ) ; the older the age,the lower the physical summary scores( b' =- 0.16 ),the mental summary scores ( b' =- 0.16 ),the physical function ( b' =- 0.26),the vitality ( b' =- 0.26 ) and the quality of life scores ( b' =- 0.17 ) ( all P values ＜0.05) ; the higher the score of the subjective social support,the higher the physical summary scores (b' =0.26),the mental summary scores ( b' =0.22 ),the general health ( b' =0.27 ),the social function ( b' =0.26),the mental health( b' =0.15 ) and the quality of life scores ( b' =0.22) ( all P values ＜ 0.05 ) ; the higher the score of the utilization of social support,the higher the physical function ( b' =0.16) and the health transition scores ( b' =0.31 ) ( all P values ＜ 0.05 ).Conclusion PLWHA in Kunming have relatively lower scores of quality of life.A large number of symptoms during infection,older age and lower score of subjective social support were the hazard factors of quality of life in PLWHA.