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目的对艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)中,服刑人员与非服刑人员的生存质量进行描述和比较,并探讨与生存质量相关的影响因素,为监狱制定健康教育和干预策略提供依据。方法横断面调查研究,采用人口学问卷、WHOQOL-HIV-BRIEF中文简表、Berger耻辱量表收集信息,运用SPSS13.0统计软件进行数据分析。结果共计发放问卷80份,收回有效问卷73份。HIV/AIDS病人生存质量除精神支柱/个人信仰领域外,均低于全国常模,并且在生理、心理、独立性、社会关系、精神支柱/个人信仰领域差异有统计学意义(P<0.01)。除社会关系领域外,服刑人员的生存质量高于非服刑人员,并且在生理、独立性、环境、精神支柱/个人信仰领域及总分方面差异有统计学意义(P<0.05)。多因素分析结果显示,年龄、CD+4T淋巴细胞检测值、HIV感染时间、Berger耻辱得分,均与生存质量有关(P<0.05)。结论 HIV/AIDS病人中的服刑人员生存质量相对较高,但监狱干警仍需提高警惕,加强狱中的健康教育,并呼吁社会各界营造健康、宽容的社会环境。
Objective To describe and compare the quality of life of prisoners and non-prisoners in HIV / AIDS patients (referred to as HIV / AIDS patients) and to explore the influencing factors related to quality of life. Provide health education and intervention strategies to provide the basis. Methods Cross-sectional survey, using demographic questionnaire, WHOQOL-HIV-BRIEF Chinese profile, Berger humiliation scale to collect information, using SPSS13.0 statistical software for data analysis. Results A total of 80 questionnaires were issued and 73 valid questionnaires were returned. The quality of life of HIV / AIDS patients was lower than that of the national norm except for the spiritual pillar / personal belief field, and there was significant difference in the fields of physiology, psychology, independence, social relations, spiritual pillars / personal beliefs (P <0.01) . In addition to social relations, the quality of life of prisoners was higher than that of non-prisoners, and there were significant differences in the areas of physical, independence, environment, spiritual support / personal beliefs and total scores (P <0.05). Multivariate analysis showed that age, CD + 4T lymphocyte detection, HIV infection time and Berger stigma were all related to quality of life (P <0.05). Conclusion The quality of life of prisoners in HIV / AIDS patients is relatively high. However, prison police officers still need to be vigilant and strengthen health education in prisons, and appeal to all walks of life to create a healthy and tolerant social environment.