ＨＩＶ 感染者／ＡＩＤＳ患者的生存质量及其影响因素分析

摘要：目的　了解ＨＩＶ 感染者／ＡＩＤＳ患者的生存质量及其影响因素，更好的预防和控制艾滋病。方法　于
２０１２年４月至２０１３年４月对２２９例ＨＩＶ 感染者／ＡＩＤＳ患者使用ＭＯＳ ＨＩＶ 生存质量表和社会支持度量表
进行面对面调查。结果　生存质量得分为６８．６４±１１．７６，其中ＨＩＶ 感染者７１．３１±１０．１０、已达到服药阶
段的ＨＩＶ 感染者６５．５９±１３．４９、ＡＩＤＳ患者６６．５２±１２．１０，差异有统计学意义；ＨＩＶ 感染者、已达到服药
阶段的ＨＩＶ 感染者和ＡＩＤＳ患者的得分在社会功能、疼痛、精力和情绪功能差异有统计学意义。ＨＩＶ 感染
者／ＡＩＤＳ患者的社会支持度得分为４６．３２±１２．４８， 其中ＨＩＶ 感染者４６．９１±１２．７６、已达到服药阶段的
ＨＩＶ 感染者４５．１２±１２．２１、ＡＩＤＳ患者４６．２６±１２．３２。多因素分析表明生存质量跟年龄、民族、有否其他
慢性疾病和社会支持度有关。结论　要更加重视ＨＩＶ 感染者／ＡＩＤＳ患者在感染ＨＩＶ 的同时是否还有其他
慢性疾病和其社会支持情况，切实提高ＨＩＶ 感染者／ＡＩＤＳ患者的生存质量。
关键词：ＨＩＶ；生存质量；因素
中图分类号：Ｒ５１２．９１　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０５ ０４６９ ０４

Analysis on quality of life and influencing factors in individuals with HIV/AIDS

Objective To assess the quality of life of individuals with HIV/AIDS and to analyze the influencing factors. Methods A face-to-face survey was conducted among total 229 individuals with HIV/AIDS from April 2012 to April 2013 to assess the quality of life using MOS-HIV and social support scales.Data were analyzed by multivariate logistic regression analysis. Results The average score of quality of life was 68.64±11.76 for all subjects with the score of 71.31±10.10 for individuals with HIV infection,65.59±13.49 for those infected with HIV and needed to be treated,66.52±12.10 for AIDS patients,the differences were statistically significant.Meanwhile,the differences of scores for social function,pain and mood were also significant.The average score of social support was 46.32±12.48 for all participants with 45.12±12.21 for individuals with HIV infection,46.91±12.76 for those infected with HIV and needed to be treated,46.26±12.32 for AIDS patients.Multivariate logistic regression analysis revealed that age,nationality,other chronic diseases and social support were closely related to the quality of life. Conclusions The quality of life for individuals with HIV/AIDS is relatively low largely due to lack of social support.Therefore,in order to improve the quality of life,it is very important to offer them with more social support.