中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2009年
12期
898-902
,共5页
艾滋病%孤儿%生活质量%脆弱性%病例对照研究
艾滋病%孤兒%生活質量%脆弱性%病例對照研究
애자병%고인%생활질량%취약성%병례대조연구
human immunodeficiency virus/acquired immure deficiency syndrome%orphan%quality of life%vulnerability%case-control study
目的:揭示我国艾滋病致孤儿童生活状况及其生活质量脆弱性特点,为制定相应健康促进策略提供依据.方法:采用性别、年龄1∶ 1配对设计,使用儿少主观生活质量问卷对河南省某艾滋病高发县96对艾滋病孤儿(孤儿组)与普通家庭儿童(对照组)生活状况及主观生活质量进行调查分析.结果:(1)与对照组相比,艾滋病孤儿生活满意度更低(45.16% vs.62.37%,P=0.019),遭受更多欺侮与不公(35.48% vs.12.90%,P<0.001),更需打工挣钱(55.91% vs.23.66%,P<0.001),且医疗服务可及性更低(36.36% vs.78.85%,P<0.001).(2)孤儿组生活质量总分、认知成分总分及家庭生活、学校生活、生活环境与自我认知4个维度得分均低于对照组[如,生活质量总分(145.9±16.0)vs.(154.9±16.1,P<0.001].(3)男性孤儿的生活质量总分、认知成分总分及家庭生活、学校生活、生活环境、自我认知维度得分均低于男性对照组[如,生活质量总分(143.2±16.7) vs.(155.8±17.1),P<0.001].结论:艾滋病孤儿面临更多生活问题并影响其生活质量,主要体现在对自我及环境认知水平下降,对情绪情感与心理健康远期影响亦不容忽视.男性孤儿所受影响更为显著.
目的:揭示我國艾滋病緻孤兒童生活狀況及其生活質量脆弱性特點,為製定相應健康促進策略提供依據.方法:採用性彆、年齡1∶ 1配對設計,使用兒少主觀生活質量問捲對河南省某艾滋病高髮縣96對艾滋病孤兒(孤兒組)與普通傢庭兒童(對照組)生活狀況及主觀生活質量進行調查分析.結果:(1)與對照組相比,艾滋病孤兒生活滿意度更低(45.16% vs.62.37%,P=0.019),遭受更多欺侮與不公(35.48% vs.12.90%,P<0.001),更需打工掙錢(55.91% vs.23.66%,P<0.001),且醫療服務可及性更低(36.36% vs.78.85%,P<0.001).(2)孤兒組生活質量總分、認知成分總分及傢庭生活、學校生活、生活環境與自我認知4箇維度得分均低于對照組[如,生活質量總分(145.9±16.0)vs.(154.9±16.1,P<0.001].(3)男性孤兒的生活質量總分、認知成分總分及傢庭生活、學校生活、生活環境、自我認知維度得分均低于男性對照組[如,生活質量總分(143.2±16.7) vs.(155.8±17.1),P<0.001].結論:艾滋病孤兒麵臨更多生活問題併影響其生活質量,主要體現在對自我及環境認知水平下降,對情緒情感與心理健康遠期影響亦不容忽視.男性孤兒所受影響更為顯著.
목적:게시아국애자병치고인동생활상황급기생활질량취약성특점,위제정상응건강촉진책략제공의거.방법:채용성별、년령1∶ 1배대설계,사용인소주관생활질량문권대하남성모애자병고발현96대애자병고인(고인조)여보통가정인동(대조조)생활상황급주관생활질량진행조사분석.결과:(1)여대조조상비,애자병고인생활만의도경저(45.16% vs.62.37%,P=0.019),조수경다기모여불공(35.48% vs.12.90%,P<0.001),경수타공쟁전(55.91% vs.23.66%,P<0.001),차의료복무가급성경저(36.36% vs.78.85%,P<0.001).(2)고인조생활질량총분、인지성분총분급가정생활、학교생활、생활배경여자아인지4개유도득분균저우대조조[여,생활질량총분(145.9±16.0)vs.(154.9±16.1,P<0.001].(3)남성고인적생활질량총분、인지성분총분급가정생활、학교생활、생활배경、자아인지유도득분균저우남성대조조[여,생활질량총분(143.2±16.7) vs.(155.8±17.1),P<0.001].결론:애자병고인면림경다생활문제병영향기생활질량,주요체현재대자아급배경인지수평하강,대정서정감여심리건강원기영향역불용홀시.남성고인소수영향경위현저.
Objective:To reveal the actual living conditions and the vulnerability of the life quality of orphans with acquired immune deficiency syndrome (AIDS) in China,and to provide basis for appropriate relative health promotion strategies.Methods:Using gender-age 1∶ 1 matching design,96 pairs of AIDS orphans and children from ordinary families in a county of Henan Province were investigated for their living conditions and subjective quality of life with the Inventory of Subjective Life Quality.Results:(1) Compared with the control group,AIDS orphans had lower life satisfaction (45.16% vs.62.37%,P=0.019),suffered more injustice and stigma (35.48% vs.12.90%,P<0.001),had more needs to work to earn money (55.91% vs.23.66%,P<0.001) and lower probability to receive medical treatments when they were sick (36.36% vs.78.85%,P<0.001).(2) The average total score of subjective life quality in orphan group was significantly lower than that in the control group[(145.9±16.0) vs.(154.9±16.1),P<0.001].Scores of four dimensions including family life,school life,living environment and self-awareness were all significantly lower in orphans than in non-orphans which resulted in the significantly lower awareness stratum scores.(3) The average total score of subjective life quality in male orphan group was significantly lower than that in the male control group[(143.2±16.7) vs.(155.8±17.1),P<0.001].Scores of four dimensions including family life,school life,living environment and self-awareness were all significantly lower in male orphans than in male non-orphans which resulted in the significantly lower awareness stratum scores.Conclusion:AIDS orphans have more problems in lives.Their life quality is significantly affected which mainly appears as the decline of self-awareness and environmental awareness level.Long-term impacts on emotion and mental health deserve special concern.Male orphans are more vulnerable than females.
