影响艾滋病毒成年人生活质量的因素:本地横截面研究
Karina Berner1, Quinette A Louw1
1Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
The South African journal of physiotherapy
|December 7, 2023
概括
在南非,艾滋病毒感染者 (PWH) 的健康相关生活质量 (HRQOL) 通常很高,但存在挑战. 诸如流动性,收入和治疗坚持等因素显著影响PWH HRQOL.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 生活质量研究 生命质量研究
背景情况:
- 与健康相关的生活质量 (HRQOL) 对艾滋病毒感染者 (PWH) 至关重要,但研究往往忽略了资源较低的年轻人群.
- 了解不同环境中的HRQOL驱动因素对于有效的健康管理策略至关重要.
研究的目的:
- 评估HRQOL并确定南非西开普省初级医疗保健诊所的PWH中相关因素.
- 提供关于在代表性不足的人群中维护和改善PWH的健康和功能的见解.
主要方法:
- 一项涉及48 PWH的横截面研究,使用EQ-5D-5L域,EQ-VAS和EQ-index评估HRQOL.
- 进行了临床移动性测试,并使用托比特回归分析来确定HRQOL与各种因素之间的关联.
主要成果:
- 在PWH报告的疼痛/不适 (35.4%) 和抑郁/焦虑 (25.0%) 领域的挑战.
- 较低的HRQOL与椅子上升速度较慢,收入较低,艾滋病毒持续时间较长和多药性有关.
- 抗逆转录病毒治疗 (ART) 的坚持与更高的HRQOL正相关 (p=0.020).
结论:
- 虽然整体HRQOL很高,但对于PWH来说,在功能和福祉方面仍然存在特定的挑战.
- 包括身体功能 (椅上升),社会经济地位,疾病持续时间,多药性和ART坚持等因素是HRQOL的关键决定因素.
- 建议在未来进行全面的护理,康复和健康促进策略,以解决已识别的HRQOL决定因素.
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