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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。
Objective To understand the current situation of the quality of life of HIV-infected and AIDS patients (PLWHA) and explore the influencing factors so as to provide an objective basis for the development of comprehensive AIDS care measures. Methods The Chinese version of MOS-HIV scale was used to measure the quality of life of PLWHA in Panyu District of Guangzhou City and the related characteristics that may affect the quality of life were investigated. Statistical analysis was carried out by SPSS statistical software. Results The PLWHA physiological field in Panyu District had a total score of (53.92 ± 6.85) points and a total of 45.88 ± 7.57 points in the psychological field. HIV-infected patients score higher than AIDS patients in physical and psychological areas, overall health, body function, social function, body aches, health stress and quality of life, the difference was statistically significant (P <0.05). In HIV-infected persons of different age groups, the highest score was found in the physiological field of 30-39 age group. Among the different occupational groups, the score of none / unemployed group was the lowest with significant difference (P <0.05). AIDS patients in different age groups, different occupational groups score in all fields showed no significant difference (P> 0.05). CD + 4T lymphocyte count> 350 / mm3 were higher than those of CD + 4T lymphocytes in scores of physical and psychological field, total health, physical health, body function, social function, body ache and mental health Count ≤ 350 / mm3, the difference was statistically significant (P <0.05). Conclusions The quality of life of PLWHA in Panyu District of Guangzhou City is low and is affected by many factors. It is necessary to advocate providing multi-faceted comprehensive intervention services to improve the quality of life.