中老年艾滋病感染者生命质量及其影响因素研究  

Study on the quality of life and its influencing factors of middle-aged and old people infected with AIDS

作　　者：余军 刘长 熊君 韩佳禹 余彬 杨诗凡 董佩杰 许荷 杨淑娟[2] YU Jun;LIU Chang;XIONG Jun;HAN Jia-yu;YU Bin;YANG Shi-fan;DONG Pei-jie;XU He;YANG Shu-juan(Luxian Center for Disease Control and Prevention,Luxian,Sichuan 646100,China;不详)

机构地区：[1]泸县市疾病预防控制中心,四川泸县646100 [2]四川大学华西公共卫生学院/四大大学华西第四医院,健康与社会性行为学系,四川成都610041

出　　处：《现代预防医学》2020年第14期2592-2596,共5页Modern Preventive Medicine

基　　金：四川省科技计划项目(2019YJ0148);四川省卫计委项目“老年人群感染艾滋病相关社会决定因素及机制研究”(2018卫计委-02);四川省应用心理学研究中心科研项目(CSXL-192A02)。

摘　　要：目的调查四川省中老年艾滋病高流行区泸县50岁以上的HIV/AIDS患者的生命质量,并分析不同因素对生命质量的影响,为今后提高HIV/AIDS患者的生命质量提供参考依据。方法截至2018年6月,根据纳入和排除标准在四川省泸县共纳入50岁以上的HIV/AIDS患者共计228例。采用自行设计的问卷收集一般人口学信息、艾滋病抗病毒治疗信息,采用SF-12调查患者的生命质量,采用多元线性回归方法分析生命质量的影响因素。结果中老年HIV/AIDS患者的躯体健康总评(PCS)和心理健康总评(MCS)分别为(45.60±11.88)分和(54.17±11.70)分。通过多元线性回归分析发现,经济收入(β=1.49)、现在正在接受治疗(β=8.62)与患者PCS评分呈现正相关,而是否患有慢性病(β=-10.55)与患者PCS评分呈现负相关。年龄与MCS评分呈正相关(β=0.35),而分居/离异/丧偶(β=-3.91),是否患有慢性病(β=-4.79)、现在正在接受治疗(β=-19.12)与患者的MCS评分呈现负相关。结论中老年HIV/AIDS患者PCS评分较低,而MCS评分较高。低收入、未接受抗病毒治疗、患有慢性病、婚姻状况为分居、离异或丧偶的患者,生命质量较低,应积极采取措施提高中老年HIV/AIDS的生命质量。Objective To investigate the quality of life of HIV/AIDS patients over 50 years old in Luxian County of Sichuan Province, and to analyze the influence of different factors on the quality of life, so as to provide reference for improving the quality of life of HIV/AIDS patients in the future. Methods As of June 2018, 228 HIV/AIDS patients over 50 years old were included in Luxian County, Sichuan Province according to the inclusion and exclusion criteria. Self-designed questionnaires were used to collect general demographic information and anti-HIV treatment information, SF-12 was used to investigate the quality of life of patients, and multiple linear regression was used to analyze the influencing factors of quality of life. Results The general physical health assessment(PCS) and mental health assessment(MCS) of middle-aged and elderly patients with HIV/AIDS were 45.60 ±11.88 and 54.17 ±11.70, respectively. The highest score of each dimension was emotional function(PE), with a score of 80.43(+26.96), and the lowest score was general health(GH), with a score of 66.56±25.52. Income(beta= 1.49) and antiviral treatment(beta = 8.62) were positively correlated with PCS scores, but negatively correlated with chronic diseases(beta = 10.55). Age was positively correlated with the score of MCS(beta=0.37), while marital status(beta=-1.67) and chronic disease(beta=-5.00) were negatively correlated with the score of MCS. Conclusion The PCS score of middle-aged and elderly patients with HIV/AIDS is lower, while the MCS score is higher. Low-income, non-antiretroviral treatment, chronic diseases, unstable marital status(unmarried, separated, divorced or widowed) patients were with low quality of life, and active measures should be taken to improve the quality of life of middle-aged and elderly people with HIV/AIDS.

关 键 词：中老年HIV/AIDS患者 生命质量 SF-12 影响因素 

分 类 号：R181.3[医药卫生—流行病学]