HIV阳转家庭双方的生命质量现况及影响因素  

Status and influencing factors of quality of life in HIV concordant couples

作　　者：郝晓宇 韩瑜[2] 杨志敏[2] 霍俊丽[2] 张小波[2] 安晓静[2] 徐诺雅[2] 黎萍 李烙 施玉华[2] 马艳玲[2] HAO Xiaoyu;HAN Yu;YANG Zhimin;HUO Junli;ZHANG Xiaobo;AN Xiaojing;XU Nuoya;LI Ping;LI Lao;SHI Yuhua;MA Yanling(Kunming Medical University,Kunming 650500,Yunan,China;Yunnan Center for Disease Control and Prevention,Kunming 650022,Yunnan,China)

机构地区：[1]昆明医科大学,昆明650500 [2]云南省疾病预防控制中心,昆明650022

出　　处：《中国艾滋病性病》2024年第1期29-33,共5页Chinese Journal of Aids & STD

基　　金：国家“十三五”科技重大专项(2018ZX10715-006)。

摘　　要：目的调查HIV阳转家庭夫妻双方生命质量现况及影响因素。方法采用横断面调查方法,调查120个云南省HIV阳转家庭的先证方和阳转方各120人,采用自制问卷和健康调查简易问卷(SF-36),对夫妻双方进行生命质量调查,分析影响因素,并与常模进行比较。结果阳转家庭先证方生理健康(PSS)得分(65.61±19.00)分,心理健康(MSS)得分(60.70±18.44)分;阳转方PSS得分(72.67±16.85)分,MSS得分(67.13±18.89)分,在生理职能(RP)、躯体疼痛(BP)、情感职能(RE)、精神健康(MH)、PSS及MSS,HIV阳转家庭双方得分均低于常模,差异有统计学意义(P<0.05),在一般健康状况(GH)、精力(VT)、社会功能(SF)、MH、PSS及MSS领域,先证方得分低于阳转方,差异有统计学意义(P<0.05)。阳转家庭中先证方高收入和无HIV临床及合并症状是PSS得分的保护因素;高收入和有民政救助是MSS得分的保护因素。阳转家庭阳转方年轻和无HIV临床及合并症状是PSS得分的保护因素;有民政救助和无HIV临床及合并症状是MSS得分的保护因素。结论HIV阳转家庭双方多领域评分降低,生命质量评分明显低于常模,影响阳转家庭生命质量的因素有收入、有无HIV临床及合并症状和有无民政救助,建议做好阳转家庭双方的抗病毒治疗和定期随访,控制及减少HIV感染相关症状的产生,同时扩大收入途径,采取民政救助等措施,改善阳转家庭生命质量。Objective This study aims to investigate the status and influencing factors of the quality of life(QoL)of HIV concordant couples.Methods A cross-sectional survey was conducted among 120 HIV concordant couples,including 120 initially confirmed HIV-infected individuals and 120 seroconverted individuals,in Yunnan Province.A selfdeveloped questionnaire and a simple health survey questionnaire(SF-36)were used to investigate the QoL of both spouses.The influencing factors were analyzed and compared with the norm.Results The study revealed that the physical status score(PSS)was 65.61±19.00 and the mental status score(MSS)was 60.70±18.44 for the initially infected individuals;for the seroconverted individuals,the PSS was 72.67±16.85 and the MSS was 67.13±18.89.In terms of physiological function(RP),physical pain(BP),emotional function(RE),mental health(MH),PSS and MSS,the scores of both individuals in HIV concordant couples were lower than the norm,with a statistically significant difference(P<0.05).Regarding general health(GH),vitality(VT),social functioning(SF),MH,PSS and MSS,the scores of the initially infected individuals were lower than those of the spouses,exhibiting a statistically significant difference(P<0.05).High income of the initially infected individual and the absence of HIV clinical symptoms and complications were protective factors for PSS scores.High income and the availability of civil assistance were protective factors for MSS scores.The youthfulness of the seroconverted individual and the absence of HIV clinical symptoms and complications were protective factors for the PSS scores.The presence of civil assistance and absence of HIV clinical symptoms and complications were protective factors for the MSS scores.Conclusions The scores for HIV concordant couples decreased in multiple fields,and the score of QoL was significantly lower than the norm.The factors that affect the QoL of HIV concordant couples include income,the presence of HIV clinical symptoms and complications,and civil assistance.This

关 键 词：艾滋病病毒 阳转家庭 生命质量 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]