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目的了解广东省佛山市南海区HIV感染者/艾滋病患者的生存质量,并探讨其相关影响因素。方法在艾滋病综合防治信息管理系统中随机选择2014年3月31日前报告的200例年龄≥18岁的HIV感染者/AIDS患者作为研究对象,采用世界卫生组织艾滋病生存质量简表(WHOQOL-HIV-BREF)对全部研究对象进行生存质量评价,采用t检验比较生存质量总分及各领域得分与常模之间的差异,采用多元线性逐步回归方法进行多因素分析筛选影响HIV感染者/AIDS患者生存质量的相关因素。结果 186例HIV感染者/AIDS患者生理领域、心理领域、社会关系领域和总的生存质量与健康状况得分均低于正常人常模水平(P<0.05);环境领域、精神支柱与个人信仰领域得分则高于常人常模水平(P<0.05);条目得分比较中,除积极感受、社会帮助、社会安全保障、环境条件、交通条件条目外,其余各条目得分与正常人常模组得分差异均有统计学意义(P<0.05)。多元线性逐步回归分析显示,抗病毒治疗、感染时间、有无伴偶是影响HIV感染者/AIDS患者生存质量的主要因素。结论 HIV感染者/AIDS患者的生存质量较正常人群低,抗病毒治疗、感染时间、有无伴偶是其主要影响因素。需要全社会加强救助及关怀力度,积极提高其生存质量。
Objective To understand the quality of life of people living with HIV / AIDS in Nanhai District of Foshan City, Guangdong Province and to explore the related factors. Methods A total of 200 HIV / AIDS patients aged 18 or older who reported before March 31, 2014 were randomly selected from the AIDS Integrated Information Management System (IMIS) as the research object and the WHOQOL-HIV- BREF) to evaluate the quality of life of all the subjects, t-test was used to compare the total quality of life score and the difference between each field score and norm, and multivariate linear stepwise regression analysis was used to screen the patients with HIV / AIDS Quality related factors. Results 186 cases of HIV / AIDS patients in the physical field, psychological field, social relations and overall quality of life and health status scores were lower than normal norm (P <0.05); environmental field, spiritual pillars and areas of personal beliefs The scores of scores of other items were higher than that of norm of ordinary people (P <0.05). In the scores of items, except the positive feelings, social help, social security, environmental conditions and traffic conditions, All were statistically significant (P <0.05). Multivariate linear stepwise regression analysis showed that antiviral therapy, infection time and presence of both are the main factors affecting the quality of life of HIV / AIDS patients. Conclusion The quality of life of HIV infected persons / AIDS patients is lower than that of the normal population. Antiviral therapy, infection time and the presence of both are the main influencing factors. Need the whole society to strengthen aid and care, and actively improve their quality of life.