Quality of Life of HIV Patients and Influential Factors  

Oleh:

Astoro, Nyoto Widyo ; Djauzi, Samsuridjal ; Djoerban, Zubairi ; Prodjosudjadi, Wiguno

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Acta Medica Indonesiana vol. 39 no. 01 (Jan. 2007), page 2.
Topik: HIV; contributing; quality of life

Ketersediaan

Perpustakaan FK Nomor Panggil: A02.K.2004.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

ABSTRACT Aim: to identify quality of life in HIV patients and to investigate associated factors. Methods: a cross-sectional comparative study of HIV patients visiting the outpatient clinic at Cipto Mangunkusumo National Central Hospital and Dharmais Cancer Hospital was conducted between March and June 2003. Subjects were patients willing to fill in the SF-36 questionnaire, and willing to undergo physical examination and laboratory tests. Multivariate analysis was performed to identify the determinant factors that dominantly affect the quality of life in H IV patients. Results: from 107 HIV subjects, wefound poor quality of life. The score of H IV patients' quality of life components was as follows: mean physical function 49.2, social function 46.4, limitations due tQ physical factor 43.2, limitations due to emotional factor 48.8, mental health 50.7, energy 48.8, pain 54.7 and general health 42.7. The mean quality of life score for physical components in HIV patients was 47.45 while the mean quality of life score for mental components was 48.075. Factors that dominantly contribute to the quality of life in HIV patients are, respectively, the presence of opportunistic infection (p=O.OOI OR=5.297 CI'1.974-14.218) and ARV therapyformore tlran3months(p=O.048 OR=4.487 CII.OII¬19.908). Conclflsioll: botlt pltysical alld melltol compollellts ill HIV patients demonstrated poor quality of life. Factors that dominantly contribute to the quality of life in H IV patients are, the presence of opportunistic infection and ARV therapy for more than 3 months. Key words: H IV, contributing factors, quality of life. currently the most common cause of death in the United States and affects the overall world health status.2 According to the Directorate General of Communi¬cable Disease Control, the number of people with HIV/ AIDS was around 2575 cases until the end of2001, and increased to 3614 cases by the end of March 2003.3 The number, of course, does not represent the real number of persons with HIV The Indonesian Ministry of Health in 2002 estimated that the number of Indonesian people infected with HIV was between 90,000 and 130,000.4 Until today, therapies available for HIV infection have not been able to eradicate the HIV virus. Antiretrovirals do not kill the virus, but consumption of the drug could minimize morbidity and mortality. However, when the therapy is terminated, the number of virus will soon recover to previous amounts.5.9 The objectives of current HIV therapy is to decrease morbidity and mortality, and to increase the quality of life. 10-12 SF-36 is a quality of life measurement tool that consists of36 questions, illustrating 8 health components. The health components consist of general health, physical function, physical limitation, emotional limitation, social function, pain, energy, mental health. The SF-36 quality oflife assessment system could be automatically done by using a software provided by department of internal medicine of UCLA or manually. Various studies on HIV patients' quality of life have been done abroad. In Indonesia, this type of study has never been performed, and therefore it is considered important to make a study on HIV patients' quality of life.

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