HIV/AIDS患者疾病管理自我效能感与生命质量的相关性研究

Study on the Relationship Between Self-efficacy for Disease Management and Quality of Life Among People Living with HIV/AIDS

目的:探讨HIV/AIDS患者的疾病管理自我效能感与生命质量的相关性。方法:采用描述性相关研究,分别用中文版的HIV/AIDS患者疾病管理自我效能感量表(HIV-SE)和中国HIV感染者生命质量量表(QOL-CHIV),调查了242例HIV/AIDS患者的疾病管理自我效能感和生命质量。结果:HIV/AIDS患者的HIV-SE总平均分为6.59±1.57,其得分较低;QOL-CHIV的总分为56.21±16.22,生命质量呈较低水平,患者的疾病管理自我效能感与生命质量呈正相关(r=0.26～0.59,P<0.01)。结论:HIV/AIDS患者的疾病管理自我效能感会影响其生命质量,护理人员应指导患者进行疾病管理,提高患者自我效能感,从而改善其生命质量。

Objective：To investigate the relationship between self-efficacy for disease management and quality of life among of people living with HIV/AIDS（PLWHA）. Methods.. A cross-sectional study was conducted. The HIV Self-Efficacy （HIV-SE） Questionnaire and Quality of Life Scale for Chinese HIV-infeeted people （QOL-CHIV） were used to assess self-efficacy for disease management and QOL of 242 patients with HIV/AIDS. Results.. The mean HIV-SE score of this group was 6.59±1.57,comparing to the similar study abroad, it was significantly lower（P〈0.01）. The mean total score of QOL-CHIV was 56.2±16.22, the QOL of these subjects were low. Self-efficacy for disease management was positively correlated with quality of life（r=0. 26-0. 59,P〈0. 01）. Conclusion： Self-efficacy for disease management is related to quality of life of Chinese PLWHA. Nurses should instruct PLWHA to manage symptoms to increase self-efficacy for disease management.