北京市HIV/AIDS患者生存质量现状及影响因素分析  

Situation and influencing factors of quality of life among HIV/AIDS patients in Beijing

作　　者：闫丽[1] 刘小翠[1] 苏金星[1] 刘云慧[1] YAN Li;LIU Xiaocui;SU Jinxing;LIU Yunhui(Department of STD/AIDS Control,Shunyi Center for Disease Control and Prevention in Beijing,Beijing 101300,China)

机构地区：[1]北京市顺义区疾病预防控制中心性病艾滋病控制科,北京101300

出　　处：《中国性科学》2022年第2期157-160,共4页Chinese Journal of Human Sexuality

基　　金：北京市顺义区卫生健康发展科研专项重点项目(Wsjkfzkyzx-2019-z-03)。

摘　　要：目的分析艾滋病病毒(HIV)感染者及艾滋病(AIDS)患者(简称HIV/AIDS患者)的生存质量现状,探讨相关影响因素,为提高随访管理和改善患者的生存质量提供参考。方法使用世界卫生组织(WHO)艾滋病生存质量简表(WHOQOL-HIV BREF)和中文版艾滋病压力量表(CSS-HIV)对北京市220例HIV/AIDS患者进行调查,采用t检验､单因素方差分析对生存质量的影响因素进行分析。结果220例HIV/AIDS患者的生存质量环境领域､精神领域得分高于中国常模(P<0.05);已婚的HIV/AIDS患者生理领域､独立性领域得分低于未婚､离异或丧偶者;无稳定收入､收入<2000元/月者除生理领域外的其他领域得分低于有稳定收入､收入≥2000元/月者;无医保者独立性领域得分低于有北京医保者;经常因性取向感到羞耻者在除总体生存质量外的其他领域得分低于有时或从来没有因性取向感到羞耻者;经常因感染HIV遭歧视者､压力较高者所有领域得分低于有时或从来没有因感染HIV遭歧视者､压力较低者。结论北京市HIV/AIDS患者的生存质量较低,大部分领域低于中国常模,应重点关注已婚､无稳定收入､收入水平低､压力较高､没有北京医保､经常自觉因感染HIV遭到他人歧视､经常因为性取向感到羞耻的HIV/AIDS患者的生存质量。应通过心理综合干预等手段缓解其压力,提高社会支持水平,提升HIV/AIDS患者的生存质量。Objective To investigate the quality of life(QOL)and influencing factors among HIV/AIDS patients in Beijing,and provide scientific basis for improving their QOL.Methods 220 cases of HIV/AIDS patients in Beijing were investigated using the WHOQOL-HIV BREF and the Chinese version of CSS-HIV,and the influencing factors of QOL were analyzed by t test and one-way ANOVA.Results The QOL scores of 220 HIV/AIDS patients were significantly higher than the national norm in the domains of enviroment and spirituality,the QOL scores of married HIV/AIDS patients were lower than unmarried,divorced or widowed HIV/AIDS patients in the domains of physiology and independence,the QOL scores of HIV/AIDS patients with unstable income and monthly income<2,000 yuan were lower than those with stable income and monthly income≥2,000 yuan in other domains except physiology,the QOL scores of HIV/AIDS patients without medical insurance were lower than those with Beijing medical insurance in the domains of independence,the QOL scores of HIV/AIDS patients who often feeled ashamed of sexual orientation were lower than those who sometimes or never feeled ashamed of sexual orientation in other domains except overall QOL,the QOL scores of HIV/AIDS patients who were often discriminated due to HIV and those with high stress were lower than those who were sometimes or never discriminated due to HIV and those with low stress in all domains.Conclusions The QOL of HIV/AIDS patients in Beijing is relatively low,in most domains lower than the national norm.It is necessary to pay attention to the QOL of HIV/AIDS patients with married,unstable income,low income,high stress,without Beijing medical insurance,discrimination due to HIV and stigmatization due to sexual orientation.We should take psychological comprehensive intervention and increase social support to improve their QOL.

关 键 词：艾滋病 生存质量 影响因素 

分 类 号：R-05[医药卫生]