题名

Quality of Life and Related Factors for People Living with HIV/AIDS in Northern Taiwan

并列篇名

台灣北部地區愛滋病毒感染者生活品質及其相關因素之探討

作者

楊美紅(Meei-Horng Yang);陳宜民(Yi-Ming Chen);郭英調(Benjamin In-Tian Kuo);王桂芸(Kwua-Yun Wang)

关键词

英文HIV/AIDS ; 生活品質 ; 生理症狀困擾 ; 情緒困擾 ; 社會支持 ; HIV/AIDS ; quality of life ; physical symptom distress ; mood disturbance ; social support

期刊名称

The Journal of Nursing Research

卷期/出版年月

11卷3期(2003 / 09 / 01)

页次

217 - 226

内容语文

簡體中文

中文摘要

本研究目的在探討接受門診治療之愛滋病毒感染者之生活品質及其相關因素,係為描述相關性研究設計。採立意取樣方式在台北三家醫學中心及一家性防治所門診,共選取114 位個案,以基本屬性量表、生理症狀困擾量表、情緒困擾量表、社會支持量表、生活品質量表收集相關資料,並以描述性統計、皮爾森積差相關及複迴歸等方法進行處理。研究結果顯示整體生活品質之平均得分為18.50;在家庭層面之得分最高,而經濟環境層面最低。生理症狀困擾及情緒困擾與生活品質呈顯著負相關;社會支持與生活品質呈顯著正相關。生理症狀困擾與情緒困擾呈顯著正相關;情緒困擾與社會支持呈顯著負相關;生理症狀困擾與社會支持呈顯著負相關。最佳預測生活品質之變項包含:情緒困擾、社會支持、自覺感染途徑、生理症狀困擾、主要經濟來源,可解釋整體生活品質之變異量達60.9%。而其中情緒困擾為影響生活品質之最重要因素,因此建議提供愛滋病感染者有品質之照護時,減輕情緒困擾為首要工作。

英文摘要

The purpose of this study was to identify the variables related to quality of life in the population of individuals living with HIV/AIDS (PLWHA) in Tai wan. Purposive sampling was used to identify subjects from the out patient departments (OPD) of three teaching hospitals and one sex u ally transmitted disease (STD) clinic in the Taipei area. For this study, the questionnaire included a demo graphic data sheet, physical-symptom distress and mood-disturbance scales, a personal-resource questionnaire (PRQ85-II) and a quality-of-life index (QLI). A total of 114 subjects completed the questionnaire. The results revealed that higher quality of life was associated with less mood disturbance (r = -.72; p < .001), reduced phys i cal-symptom distress (r = -.47; p < .001), and higher levels of social sup port (r = .57; p < .001). PLWHA life quality was reflected accurately by mood disturbance, social sup port, physical-symptom distress, self-perceived mode of HIV transmission, and major source of financial sup port. These variables accounted for 60.9% of QOL variance. As mood disturbance was the strongest predictor of quality of life, psychosocial intervention for mood disturbance should be emphasized and developed in future studies.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Aguirre, M. G.(1998).Health-related quality-of-life in men with HIV disease.Dissertation Abstracts International,58(8)
  2. Cain, R. E.(1998).Quality of life and empowerment among individuals living with HIV/ AIDS who reside in north central Pennsylvania.Dissertation Abstracts International,58(7)
  3. Cella, D. F., Jacobsen, P. B., Orav, E. J., Holland, J. C., Silberfarb, P. M., Rafla, S.(1987).A brief POMS measure of distress for cancer patients.Journal of Chronic Disease,40(10)
  4. Center for Disease Control(2003).Issues of reported cases of HIV/ AIDS.
  5. Cleary, P. D., Fowler, F. J., Weissman, J., Massagli, M. P., Wilson, I., Seage, G., Gatsonis, C., Epstein, A.(1993).Health-related quality of life in persons with acquired immune deficiency syndrome.Medical Care,31(7)
  6. Drescher, J.(1995).Psychosocial aspects of HIV and AIDS.Optometry & Vision Science,72(5)
  7. Ferrans, C. E., Powers, M. J.(1985).Quality of life index: Development and psychometric properties.Nursing Research,8(1)
  8. Grassi, L., Sighinolfi, L.(1996).Psychosocial correlates of quality of life in patients with HIV infection.AIDS Patient Care,8(5)
  9. Hays, R. D., Cunningham, W. E., Sherbourne, C. D., Wilson, I. B., Wu, A. W., Cleary, P. D., McCaffrey, D. F., Fleishman, J. A., Crystal, S., Collins, R., Eggan, F., Shapiro, M. F., Bozzette, S. A.(2000).Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV cost and services utilization study.The American Journal of Medicine,108(9)
  10. Heckman, T. G., Somlai, A. M., Sikkema, K. J., Kelly, J. A., Franzoi, S. L.(1997).Psychosocial predictors of life satisfaction among persons living with HIV infection and AIDS.Journal of the Association of Nurses in AIDS Care,8(5)
  11. Irish, A.(1989).Maintaining health in persons with HIV infection.Seminars in Oncology Nursing,5(4)
  12. Lenderking, W. R., Testa, M. A., Katzenstein, D., Hammer, S.(1997).Measuring quality of life in early HIV disease: The modular approach (Abstract).生命品質研究 Quality of Life Research,6(6)
  13. Linn, J. G., Monning, R. L., Cain, V. A., Usoh, D.(1993).Stage of illness, level of HIV symptoms, sense of coherence and psychological functioning in clients of community-based AIDS counseling centers.Journal of the Association of Nurses in AIDS Care,4(2)
  14. Liu, H. E.(1993).The study on QOL of family.Nursing Research,1(3)
  15. Lutgendorf, S., Antoni, M. H., Schneiderman, N., Fletcher, M. A.(1994).Psychosocial counseling to improve quality of life in HIV infection.Patient Education and Counseling,24(2)
  16. McCain, N., Cella, D. F.(1995).Correlates of stress in HIV disease.Western Journal of Nursing Research,17(2)
  17. Molassiotis, A., Callaghan, P., Twinn, S. F., Lam, S. W., Chung, W. Y., Li, C. K.(2002).A pilot study of the effects of cognitive-behavioral group therapy and peer support/ counseling in decreasing psychologic distress and improving quality of life in Chinese patients with symptomatic HIV disease.AIDS Patient Care and STDs,16(2)
  18. Newshan, G., Sherman, D. W.(1999).Palliative care: Pain and symptom management in persons with HIV/ AIDS.Nursing Clinics of North America,34(1)
  19. Nokes, K. M., Wheeler, K., Kendrew, J.(1994).Developing of an HIV assessment tool.Image: Journal of Nursing Scholarship,26(2)
  20. Nunes, J. A., Raymond, S. J., Nicholas, P. K., Leuner, J. D., Webster, A.(1995).Social support, quality of life, immune function, and health in persons living with HIV.Journal of Holistic Nursing,13(2)
  21. Rizzi, M., Marchesi, S., Morelli, E., Avogadri, M.(1994).Quality of life in PWAs.AIDS Patient Care,8(5)
  22. Rose, L., Pugh, L. C., Lears, L., Gordon, D. L.(1998).The fatigue experience: Persons with HIV infection.Journal of Advanced Nursing,20(2)
  23. Saunders, J. M.(1989).Psychosocial and cultural issues in HIV infection.Seminars in Oncology Nursing,5(4)
  24. Smith, M. Y., Feldman, J., Kelly, P., DeHovitz, J. A., Chigwin, K., Minkoff, H.(1996).Health-related quality of life of HIV-infected women: Evidence for the reliability, validity and responsiveness of the Medical Outcome Study Short-Form 20 (Abstract).生命品質研究 Quality of Life Research,5(1)
  25. Spirig, R.(1998).Support groups for people living with HIV/ AIDS: A review of literature.Journal of the Association of Nurses in AIDS Care,9(4)
  26. Vosvick, M., Koopman, C., Gore-Felton, C., Thoresen, C., Krumboltz, J., Spiegel, D.(2003).Relationship of functional quality of life to strategies for coping with the stress of living with HIV/ AIDS.Psychosomatics,44(1)
  27. Wachtel, T., Piette, J., Stein, M., Fleishman, J., Carpenter, C.(1992).Quality of life in persons with human immunodeficiency virus infection: Measurement by the medical outcomes study instrument.Annals of Internal Medicine,116(2)
  28. Weinert, C.(1987).A social support measure: PRQ85.Nursing Research,36(5)
被引用次数
  1. 陳建和、張雅筑(2010)。人類免疫缺乏病毒男性感染者壓力、休閒因應策略及生活品質關係之研究。戶外遊憩研究,23(4),51-77。
  2. 潘淑滿,郭書辰,莊登閔(2022)。男同志愛滋感染者交織烙印經驗與因應策略初探。臺大社會工作學刊,46,181-227。