SF-36量表测定中国云南农村艾滋病病毒感染者和普通村民生活质量分析

APPLICATION OF SF-36 SCALE ON HIV POSITIVE AND NEGATIVE VILLAGERS IN RURAL AREAS IN YUNNAN

[目的]探讨SF-36量表测定中国云南农村艾滋病病毒感染者与普通村民生活质量的效果。[方法]采用SF-36量表对艾滋病病毒感染者和普通村民进行面对面问卷调查,比较普通村民与感染者、未接受治疗与接受治疗的感染者组间在躯体功能、社会功能等8个维度方面的区别。[结果]①感染者组SF-36量表各维度Cronbach's α系数均大于或接近0.7;普通村民组除活力(VT)和社会功能(SF)维度外,其他维度Cronbach's α系数均大于0.7。②普通村民组躯体功能(PF)、VT、机体疼痛(BP)和总的健康状况(GH)维度得分显著高于未接受抗病毒治疗的感染者组;接受抗病毒治疗的感染者组VT、BP和GH维度得分显著高于未治疗的感染者组。[结论]SF-36测定中国农村艾滋病病毒感染者生活质量时具有较好的信度;在反映生理健康的维度上具有较好的判别效度,在反映心理健康的维度上判别效度不理想。建议开发艾滋病病毒感染者特异性生活质量量表。

[Objective]To explore the effect of applying SF-36 scale on HIV positive and negative villagers in rural areas in Yunnan,China.[Methods]SF-36 scale was applied to both HIV positive and negative villagers by face to face interview.8 dimension such as physical function,social function and so on were compared between groups of HIV positives and negatives,positives in ARV and positives not in ARV.[Results] ① Cronbach＇s α coefficients of all domains were equal or greater than 0.7 for HIV positive villagers while Cronbach＇s α coefficients of most domains were greater than 0.7 for HIV negative villagers except for VT（vitality）and SF（social function）domains.② The average scores of PF（physical function）,VT,BP（bodily pain）and GH（general health）domain were significantly higher for HIV negative villagers than HIV positive ones who had not received ARV treatment;The average scores of VT,BP and GH domain were significantly higher for HIV positive villagers who had received ARV treatment than those who had not.[Conclusion]The reliability of SF-36 scale is good for measuring the quality of life of HIV positive villagers.The discriminate validity is good for domains that reflect physical health but not good for domains that reflect mental health.HIV/AIDS specific quality of life scale should be developed to precisely assess the qualify of life of HIV/AIDS cases.