淮安市MSM中HIV感染者/AIDS患者生存质量的影响因素

Factors influencing quality of life among HIV infections and AIDS patients in MSM in Huaian City

目的探索男男性行为者(MSM)中人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者生存质量的主要影响因素,制定适宜的随访干预模式,更好地落实"四免一关怀"政策。方法采用整群抽样方法,利用汉化版AIDS患者生存质量量表及自制问卷对淮安市153例HIV感染者/AIDS患者的生存质量及其影响因素进行调查。结果淮安市MSM中HIV感染者/AIDS患者的心理健康总分(MHS)为(48.17±8.25)分,生理健康总分(PHS)为(56.70±6.99)分。学历、职业、不良行为方式、目前对待自己患病的态度、心理状况、不适感、AIDS相关症状、抗病毒药物不良反应对MHS的影响差异有统计学意义(P<0.05);不良行为方式、心理状况、不适感、抗病毒药物不良反应对PHS的影响差异有统计学意义(P<0.05)。结论淮安市MSM中HIV感染者/AIDS患者的生存质量主要受心理、抗病毒药物不良反应和不健康的生活方式的影响,在该人群中倡导健康生活方式,兼顾HIV阳性和性取向两方面,提供恰当的心理干预,做好临床转介,可提高他们的生存质量。

[Objective]To explore the major influencing factors of quality of life among HIV infections and AIDS patients in MSM,formulate appropriate follow-up intervention mode,and better implement the policy of Four Free and One Care.[Methods]By the cluster sampling,the quality of life and its influencing factors in 153 HIV infections and AIDS patients in Huaian City were investigated with AIDS patient quality of life scale（Chinese version）and self-designed questionnaire.[Results]The mental health score（MHS）and the physiological health score（PHS）among HIV infections and AIDS patients in MSM in Huaian City was（48.17±8.25）and（56.70 ±6.99） respectively. The educational background,occupation,bad behavior,current attitude towards the disease,mental state,discomfort,symptoms of AIDS,and side effects of antiviral drugs had significant influences on MHS（P〈0.05）. The bad behavior,mental state,discomfort,and side effects of antiviral drugs had significant influences on PHS（P〈0.05）.[Conclusion]The quality of life among HIV infections and AIDS patients in MSM in Huaian City is mainly influenced by mental state,side effects of antiviral drugs and unhealthy lifestyle. It is importent to advocate the healthy lifestyle,consider the positive HIV and sexual orientation,provide appropriate psychological intervention,and improve the clinical referral,to improve their quality of life.