MOS-HIV量表测量PLWHA生存质量现状

目的了解艾滋病病毒（HIV）感染者和艾滋病（AIDS）病人（简称PLWHA）的生活质量现状,探讨其影响因素,为制定艾滋病综合关怀措施提供客观依据。方法采用简体中文版MOS-HIV量表,测量广州市番禺区PLWHA生活质量现状,并调查可能影响生活质量的相关特征,采用SPSS统计软件进行统计分析。结果番禺区PLWHA生理领域总分为（53.92±6.85）分,心理领域总分为（45.88±7.57）分。HIV感染者在生理、心理领域总分,总体健康、躯体角色、社会功能、肌体疼痛、健康压力和生命质量领域等方面评分均高于AIDS病人,差异有统计学意义（P〈0.05）。HIV感染者不同年龄组中,30~39岁年龄组生理领域总分最高;不同职业组中,无/待业组评分最低,差异有统计学意义（P〈0.05）。AIDS病人不同年龄组、不同职业组各领域评分差异无统计学意义（P〉0.05）。CD＋4T淋巴细胞计数〉350个/mm3者在生理、心理领域总分,总体健康、躯体健康、躯体角色、社会功能、肌体疼痛和心理健康领域等方面评分,均高于CD＋4T淋巴细胞计数≤350个/mm3者,差异有统计学意义（P〈0.05）。结论广州市番禺区PLWHA的生存质量水平较低,并受多方面因素的影响,应倡导提供多方位的综合干预服务,提高其生存质量。

Measurement of life quality of people living with HIV/AIDS using the MOS-HIV scale

Objective To survey quality of life about people living with HIV/acquired immunodeficiency syndrome （AIDS） （PLWHA） from Panyu district of Guangzhou, and discuss its influence factors, in order to provide an objective basis for development of HIV/AIDS comprehensive care. Methods Quality of life in PLWHA was evaluated by Medical Outcomes Study-HIV （MOS-HIV） and demographic features and risk factors related to HIV infection were investigated. SPSS software was used for statistical analysis. Results The total score for Physiology was （53.92 ± 6. 85）, and that for psychology was （45.88 ± 7. 57）. Scores for physiology, psychology, overall health, physical role, social functioning, body pain, health pressure and life quality in HIV infected patients were significantly higher than those in AIDS patients （P〈0.05）. In respect of age, 30-39 years old patients had the highest total physiological score, while in respect of occupation, jobless groups had the lowest score （P〈0. 05）. In AIDS patients, there were no significant differences in all scores between different age groups and occupations （P〈 0.05）. Scores for physiology, psychology, overall health, body health, and physical role, social functioning, body pain and mental health in paients with CD4＋ T ceil counts 〉350 cells/uL were significantly higher than those with CD4^＋ T cell counts ≤ 350 cells/μL （P 〈 0.05） . Conclusion Quality of life （QOL） of PLWHA in Panyu District of Guangzhou City was lower than that of general population, which was affected by many factors. It should be encouraged to provide comprehensive multi-faceted intervention services to improve their quality of life.