HIV感染者/AIDS病人心理状况及生活质量调查

Survey on Psychologic Status and Quality of Life for HIV Infected People or AIDS Patients

目的 了解 HIV感染者 /AIDS病人的心理状况、生活质量及其相关因素。方法 选择四川省 HIV感染率和 AIDS患病率较高的两个县 (资中县和凉山州昭觉县 )作为目标社区 ,在目标社区内共计调查了 71名 HIV感染者 /AIDS病人和 97名健康者 ,选用抑郁自评量表 (SDS)、焦虑自评量表 (SAS)、生活质量综合评定问卷(GQOL I- 74 )、社会支持评定量表 (SSS)及自制的一般情况记录表收集相关资料 ,对数据进行统计学分析。结果 HIV感染者 /AIDS病人的 SAS和 SDS评分高于正常对照 (分别为 t=5 .343,t=5 .2 72 ,P值均 <0 .0 0 1) ;HIV感染者 /AIDS病人 GQOL I- 74总分、各维度分均低于正常对照 (分别为 F=36 .5 12 ,F=2 .386 ,F=11.0 4 6 ,F=31.6 16 ,F=34.2 35 ,P值均 <0 .0 1) ;HIV感染者 /AIDS病人的 SAS和 SDS评分与疾病状况、物质滥用、社会支持及生活质量存在明显相关性 ;HIV感染者 /AIDS病人的生活质量总分与疾病状况、社会支持存在明显相关性。结论 焦虑和抑郁情绪在 HIV感染者 /AIDS病人中普遍存在 ,这些负性情绪主要与较多的疾病状况和物质滥用、较少的社会支持及较低的生活质量等因素有关 ;HIV感染者 /AIDS病人的生活质量普遍较低 ,这主要与较多的疾病状况。

Objective To make a comparison on the psychologic status and quality of life between HIV infected people/AIDS patients and noninfected people in two counties (Zizhong and Zhaojue) with high rates of AIDS morbidity and HIV infection. Methods The psychologic status and quality of life for 71 HIV infected people or AIDS patients and 97 non-infected people were measured by a questionnaire containing SAS, SDS, GQOLI-74 and SSS. Data were analyzed with SPSS. Results SDS and SAS scores for HIV/AIDS people were significantly higher than those for non-infected people (t=5.343, t=5.272; P<0.001). Total GQOL-74 scores for HIV/AIDS people were significantly lower than those for non-infected people〔total scores for HIV/AIDS people 52.20(9.41), for non-infected people 66.36(8.90);P<0.001〕. The score in each of the four dimensionalities (physical function, psychological function, social function and material status) for HIV/AIDS people was lower than that for non-infected people (P<0.01). SDS and SAS scores of HIV/AIDS people were significantly correlated with disease status, substances abuse, social support and quality of life. GQOLI-74 scores of HIV/AIDS people were significantly correlated with disease status and social support. Conclusion Depression and anxiety exist commonly among the HIV/AIDS people, and these negative emotions are particularly related to the severity of their disease, substances abuse and lack of social support. The quality of life of HIV/AIDS people is significantly lower than that of the general population, and this is particularly related to the severity of their disease, lack of social support and low level of quality of life.