Relationship of symptoms, perceived health, and stigma with quality of life among urban HIV-infected African American men
Relationship of symptoms, perceived health, and stigma with quality of life among urban HIV-infected African American men
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DOI：
10.1111/j.1525-1446.2008.00725.x
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发表时间：
2008-09-01
影响因子：
2.1
通讯作者：
Park, Chang Gi
中科院分区：
文献类型：
--
作者：
Buseh, Aaron G.;Kelber, Sheryl T.;Park, Chang Gi
目的：探讨非洲裔美国男性HIV感染者的症状患病率和严重程度、对健康的看法以及对生活质量（QOL）的耻辱感之间的关系。设计：横断面相关描述性研究。样品数量：样本由HIV感染的非洲裔美国男性（N = 55）组成，均为城市，年龄范围23-66岁（M = 48.84，SD = 57.67），自HIV诊断以来的平均时间长度为10.79年（SD = 6.4）。测量值：使用了由5种工具组成的问卷：（a）社会人口学特征，（B）Holzemer HIV体征和症状检查表，（c）对健康的看法，（d）Berger HIV耻辱量表，和（e）Holmes HIV/AIDS目标生活质量量表。结果如下：常见症状为乏力（98%）、恐惧（92.7%）、气促（92.7%）、胃肠不适（85.5%）、麻木（80.0%）、头痛（76.4%）。最严重的症状是胃肠道不适、身体变化、恐惧和疲劳。症状强度与污名和生活质量显著相关。结论：这些结果强调了对感染艾滋病毒的非洲裔美国男性的症状与生活质量关系的整体观点的重要性。然而，如果不努力改善污名化的影响，护士可能无法帮助感染艾滋病毒的非洲裔美国男性获得更好的生活质量。
Objectives: To explore the relationship of symptom prevalence and intensity, perceptions of health, and stigma on quality of life (QOL) among HIV-infected African American men. Design: Cross-sectional correlational descriptive study. Samples: The sample consisted of HIV-infected African American men (N = 55), all urban, age range 23-66 years (M = 48.84, SD = 57.67), average length of time since HIV diagnosis 10.79 years (SD = 6.4). Measurements: A questionnaire consisting of 5 instruments was used: (a) sociodemographic characteristics, (b) Holzemer Signs and Symptom Checklist for HIV, (c) perceptions of health, (d) Berger HIV Stigma Scale, and (e) Holmes HIV/AIDS-Targeted Quality of Life Scale. Results: Prevalent symptoms were fatigue (98%), fear (92.7%), shortness of breath (92.7%), gastrointestinal upset (85.5%), numbness (80.0%), and headache (76.4%). Symptoms with the highest intensity were gastrointestinal upset, body changes, fear, and fatigue. Symptom intensity was significantly associated with the measures of stigma and QOL. Conclusions: The results underscore the importance of incorporating a holistic view of the relationship of symptoms with QOL for HIV-infected African American men. Without efforts to ameliorate stigmatizing effects, however, nurses may be falling short in helping individual African American men with HIV infection achieve a better QOL.