CAJ | 학술논문

目的了解广东省HIV感染者/艾滋病患者(HIV/AIDS)生活质量,并探讨其影响因素.方法采用HIV/AIDS生活质量量表(HAT-QoL),对在广州市第八人民医院和深圳市第三人民医院就诊的443例年龄≥18岁HIV/AIDS进行生活质量评价,采用非参数检验方法对生活质量各维度的影响因素进行单因素分析,采用多元线性逐步回归方法进行多因素分析.结果 HIV/AIDS生活质量的总体功能、用药感受、暴露担忧、健康担忧、医生信任度、经济担忧、HIV掌握率、生活满意度和性生活9个维度的平均得分分别为59.89±23.35、62.91±24.01、19.97±23.04、54.05±12.24、68.72±26.17、35.94±26.45、61.46±25.72、56.90±25.30和50.82±23.86.单因素和多元线性回归分析结果表明,性别、年龄、户籍类型、教育程度、工作状态、有无伴偶、是否有并发症、是否抗病毒治疗、感染方式、感染时间等因素,与HIV/AIDS的生活质量各个维度有关.结论广东省HIV/AIDS生活质量偏低,尤以暴露担忧和经济担忧为甚,社会人口学和HIV感染状况等因素在不同方面影响HIV感染者的生活质量,应加强低文化程度、低收入和缺少家庭支持人群的医疗和社会支持.
목적 료해광동성HIV감염자/애자병환자(HIV/AIDS)생활질량,병탐토기영향인소.방법 채용HIV/AIDS생활질량량표(HAT-QoL),대재엄주시제팔인민의원화심수시제삼인민의원취진적443례년령≥18세HIV/AIDS진행생활질량평개,채용비삼수검험방법대생활질량각유도적영향인소진행단인소분석,채용다원선성축보회귀방법진행다인소분석.결과 HIV/AIDS생활질량적총체공능、용약감수、폭로담우、건강담우、의생신임도、경제담우、HIV장악솔、생활만의도화성생활9개유도적평균득분분별위59.89±23.35、62.91±24.01、19.97±23.04、54.05±12.24、68.72±26.17、35.94±26.45、61.46±25.72、56.90±25.30화50.82±23.86.단인소화다원선성회귀분석결과표명,성별、년령、호적류형、교육정도、공작상태、유무반우、시부유병발증、시부항병독치료、감염방식、감염시간등인소,여HIV/AIDS적생활질량각개유도유관.결론 광동성HIV/AIDS생활질량편저,우이폭로담우화경제담우위심,사회인구학화HIV감염상황등인소재불동방면영향HIV감염자적생활질량,응가강저문화정도、저수입화결소가정지지인군적의료화사회지지.
Objective To explore the quality of life and related factors among people living with HIV/AIDS in Guangdong province.Methods A total of 443 subjects older than age 18 who had been diagnosed as HIV/AIDS were recruited from AIDS Outpatient Clinic Departments in Guangzhou and Shenzhen.HIV/AIDS-targeted quality of life (HAT-QoL) scale was used to measure the quality of life on the patients.Nonparametric test method and multiple linear regression analysis were performed to explore the related factors.Results The average scores of the following nine domains of HIV/AIDS-targeted quality of life scales were:overall function as 59.89 ± 23.35,concerns on medication as 62.91 ± 24.01,worries on factors as being disclosed,on health,on financial situation were 19.97 ±23.04,54.05 ± 12.24 and 35.94 ± 26.45,respectively,trust on providers as 68.72 ± 26.17,rate of understanding HIV as 61.46 ± 25.72,on life satisfaction as 56.90 ± 25.30 and on sexual function as 50.82 ± 23.86.Factors associated with quality of life would include sex,age,residencial area,education,employment,marital status,complications,HAART-related prescriptions,route of infection and duration of HIV/AIDS etc.Conclusion The quality of life among HIV/AIDS patients had declined,especially on worries related to disclosure and financial situation.More attention should be paid on those with poor education,low income and lack of family support in order to improve their quality of life and reducing mortality.