抗病毒治疗患者家属的HIV感染状况及其生活质量影响因素的研究  

Study on factors associated with life quality of family members of people living with HIV/AIDS who are receiving highly active antiretroviral therapy

作　　者：文毅[1,2] 时允 蒋成芹 张福杰[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]美国加州大学洛杉矶分校流行病学系,美国洛杉矶90095 [3]潞西市人民医院,云南潞西678400 [4]潞西市妇幼保健院,云南潞西678400

出　　处：《中华疾病控制杂志》2013年第12期1052-1056,共5页Chinese Journal of Disease Control & Prevention

基　　金：美国加州大学洛杉矶分校(UCLA)/福格迪艾滋病国际培训与研究项目(D43TW000013)~~

摘　　要：目的了解抗病毒治疗患者家属的感染状态、生活质量以及相关影响因素。方法对云南省德宏州302名接受抗病毒治疗的病人家属进行问卷调查,收集的信息包括家庭成员的基本人口学特征、HIV感染状况、照顾患病家人的负担情况、以及生活质量等。结果在302名家庭成员中有117人同样为HIV感染者,其中72人也在接受抗病毒治疗。与生理评分正相关的因素包括更好的经济状况、更轻的照顾负担、HIV阴性以及家中患者有更好的生活质量。与精神评分正相关的因素包括更好的经济状况、更多的情感支持、更轻的照顾负担以及家中患者有更好的生活质量。结论为了全面提高感染者和其家庭成员的生活质量,我国的抗病毒治疗工作需要整合更多的关怀和支持服务。在设计、实施感染者关怀和支持项目时,服务的方式和服务的内容同等重要。Objective To understand the effect of antiretroviral treatment on the family members of treated HIV/ AIDS patients from the aspect of quality of life. Methods Questionnaire was used to collect information from 302 family members of treated HIV/AIDS patients in Luxi City, Yunnan Province. The questions were about their demographic information, burden of care-giving, quality of life, etc. Results 117 of 302 participants were HIV positive and 72 of them were also receiving antiretroviral treatment. Higher physical component summary was positively associated with better financial status, less care-giving burden, HIV-negative and better patient＇ s physical health. Factors associated with better mental component summary included better financial status, more affection support, less care-giving burden and better patient＇ s mental health. Conclusions The national treatment program needs to integrate more care and support services. The way of the services providing is as important as the contents of the services.

关 键 词：获得性免疫缺陷综合征 生活质量 家庭 

分 类 号：R512.91[医药卫生—内科学] R181.2[医药卫生—临床医学]