凉山州不同地区人类免疫缺陷病毒感染孕产妇社会支持与生命质量的调查  

Investigation on social support and quality of life among pregnant women with HIV infection in different areas of Liangshan Yi Autonomous Prefecture

作　　者：何丹[1] 蒲杰[1] 许跃忠[1] 刘敬涛[1] 孙玲玲[1] 布的尔波[2] 梁家智[1] 唐英[2] 郑姝娟[1] 廖辉[1] 何朝华[1] HE Dan PU Jie XU Yue-Zhong et al(Sichuan Provincial Maternal and Child Health Care Hospital, Chengdu, Sichuan 61004-5, China)

机构地区：[1]四川省妇幼保健院,四川成都610045 [2]凉山州妇幼保健院,四川西昌615000

出　　处：《中国妇幼保健》2017年第20期5079-5081,共3页Maternal and Child Health Care of China

基　　金：四川省科技厅科技支撑项目(2014SZ0114)

摘　　要：目的探讨凉山州不同地区人类免疫缺陷病毒(HIV)感染孕产妇社会支持和生命质量现状。方法收集2014年凉山州各级医疗机构确诊的HIV感染孕产妇187人进行问卷调查。结果老九县的HIV感染孕产妇的民族、文化程度,家庭人均月收入和非老九县的HIV感染孕产妇比较,差异有统计学意义(P<0.05),老九县HIV感染孕产妇的社会支持总分及客观支持、支持利用度得分高于非老九县的HIV感染孕产妇(P<0.05)。老九县HIV感染孕产妇的生命质量总分及生理功能(PF)、社会功能(SF)、情感职能(RE)领域中的得分低于非老九县的HIV感染孕产妇(P<0.05)。是否老九县、婚姻状况、社会支持总分是影响HIV感染孕产妇生命质量的因素。结论凉山州老九县HIV感染孕产妇的社会人口学特征明显,生命质量偏低,主观支持相对缺乏。老九县的预防艾滋病母婴传播工作要以HIV感染孕产妇为中心,帮助其建立新的应对机制,增强应对技能,进而提高HIV感染孕产妇的生命质量。Objective To explore the current situation of social support and quality of life among pregnant women with HIV infection in different areas of Liangshan Yi Autonomous Prefecture. Methods A total of 187 pregnant women diagnosed as HIV infection definitely in medical institutions at all levels in 2014 were collected for questionnaire survey. Results There were statistically significant differences in nationality, educational level, and family monthly income between HIV-infected pregnant women living in old nine counties and HIV-infec- ted pregnant women old living in non-old nine counties （ P〈0. 05 ） . The total score of social support, the score of objective support, sup- port utilization degree score among HIV-infected pregnant women living in old nine counties were statistically significantly higher than those among HIV-infected pregnant women living in non-old nine counties （ P〈0. 05 ） . The total score of life quality, the scores of physiological function （PF）, social function （SF）, and emotional function （RE） among HIV-infected pregnant women living in old nine counties were statistically significantly lower than those among HIV-infected pregnant women living in non-old nine counties （P〈0. 05 ） . Living in old nine counties or not, marital status, the total score of social support were influencing factors of life quality of pregnant women with HIV infec- tion. Conclusion In old nine counties of Liangshan Yi Autonomous Prefecture, the pregnant women with HIV infection have significant so- ciodemographic characteristics, low quality of life, and insufficient subjective support. Prevention of mother-to-child transmission of HIV should revolve around pregnant women with HIV infection, help to build new coping mechanism, enhance coping skills, and further improve the quality of life among pregnant women with HIV infection.

关 键 词：HIV感染孕产妇 社会支持 生命质量 

分 类 号：R512.91[医药卫生—内科学]