HIV/AIDS患者在进行抗病毒治疗中的生命质量研究

摘要

目的 评价抗病毒治疗过程中HIV/AIDS生命质量的现状.方法 应用简体中文版MOS-HIV量表对云南省开远市及省关爱中心抗病毒治疗过程中253名HIV/AIDS患者的生命质量进行测评,调查可能影响生命质量的人口学特征.结果 用简体中文版MOS-HIV量表测量研究地点HIV感染者/AIDS病人的生命质量得分,总体健康为(61.28±8.23)分,生理健康(31.94±7.20)分,统计结果显示不同婚姻状况的人群总体健康、健康转移有统计学差异(P＜0.05)；HIV和AIDS生命质量的1 1个维度中仅社会功能方面没有统计学差异(P＞0.05)；不同感染途径的人群在总体健康、健康压力、生命质量、健康转移方面有统计学差异(P＜0.05).结论 已婚的HIV/AIDS患者在总体健康、健康转移方面的得分高于非婚的HIV/AIDS患者；性感染途径的HIV/AIDS患者在总体健康、生活质量、健康转移比共用针具途径以及其他途径的HIV/AIDS病人降低,在健康压力方面却是增加；HIV生命质量的11个维度中除社会功能方面和AIDS患者没有差异外,其他维度的得分都高于AIDS患者.要提高HIV/AIDS的生命质量,应针对其生命质量的不同方面进行相应的健康教育、心理咨询、社会救助、物质支持.%Objective To evaluate the specific situations of quality of life among people with HIV/AIDS during the antiviral treatment.Methods The scores of quality of life among 253 HIV/AIDS patients in Yunnan Province and the provincial care centers were measured by means of MOS-HIV scale of simplified Chinese edition so as to investigate the demographic features that might affect the quality of life and associate them with the HIV/AIDS characteristics of 11 dimension measurement.Results The measurement of MOS-HIV scale showed that the general health and physiological health of the quality of life among the HIV/AIDS patients were (61.28 ± 8.23) and (31.94 ± 7.20) respectively.The statistical results indicated that there was a statistical difference in the general health and health transfer of the population with different marital status (P＜0.05) ; whereas there was no statistical difference only in social function among HIV/AIDS persons (P＞0.05) As for the general health,the quality of life,the health pressure and the health transfer of the population infected with different paths,difference was significant statistically.Conclusion The scores of married HIV/AIDS persons are higher than those of the unmarried in terms of overall health and health transfer; the scores are lowered in the general health,the quality of life and the health transfer among HIV/AIDS persons infected with sex,comparing with those infected with needle-sharing approach and other paths,but higher in the health pressure.The dimension scores of quality of life among HIV persons were higher than those of AIDS persons,except for social function.Generally,in order to improve the quality of life for people with HIV/AIDS,health education,psychological counseling,social assistance and material support should be brought into concideration.