Calidad de vida relacionada con la salud en adultos con VIH/sida, Medellin, Colombia, 2009. (Spanish)

Health related quality of life in adults with HIV/AIDS in Colombia. (English)

Introduction. HIV/AIDS is now considered a chronic treatable disease because of the effectiveness of antiretroviral therapy. However, for this disease, issues require evaluation that goes beyond of disease occurrence. Health-related quality of life changes that may occur that continue throughout the life of the patient and may include functional status, perceptions of others, social opportunities, treatment requirements and disability. Objective. The health-related quality of life is to be characterized along with its association with demographic, socioeconomic and clinical conditions in adults with HIV/AIDS. Materials and methods. A cross-sectional study was conducted on a sample of 187 people with HIV/ AIDS in Medellin, 2009. The Medical Outcome Study Shod Form (MOSSF36) and the World Health Organization Quality of Life (WHOQOL-BREF) were applied. The analysis was done with proportions, summary measures, confidence intervals, t Student, U Mann-Whitney, Kruskal-Wallis, ANOVA and multiple linear regressions. Results. In this sample, 83.0% used antiretrovirals, 74.7% had adherence exceeding 95% and 74.7% had CD4 count above 200/mm³. The scores of health-related quality of life were between 60.5 and 90.2. Presence of disease, satisfaction with family support and satisfaction with the economic situation were the conditions found most relevant to the quality of life. Conclusion. In adults with HIV/AIDS, the health-related quality of life was better explained by factors related to economic and social support than those associated with the biological domain. [ABSTRACT FROM AUTHOR]

Introducciôn. El VIH/sida se considéra una enfermedad crônica tratable dada la efectividad del tratamiento antirretroviral. En esta enfermedad es relevante evaluar aspectos que trascienden las medidas de presentaciôn de la enfermedad; tal es el caso de la calidad de vida relacionada con la salud, que alude a los cambios que la enfermedad, los tratamientos y las discapacidades, producen en el estado funcional, las percepciones y las oportunidades sociales de las personas a lo largo de la vida. Objetivo. Describir la calidad de vida relacionada con la salud y su asociaciôn con variables demogrâficas, socioeconômicas y clinicas, en adultos con VIH/sida de Medellin, 2009. Materiales y métodos. Se trata de un estudio transversal de 187 pacientes infectados. Se aplicaron el Medical Outcome Study Short Form (MOSSF36) y el World Health Organization Quality of Life (WHOQOL-BREF). El anâlisis se hizo con proporciones, medidas de resumen, intervalos de confianza, pruebas de t de Student, de U de Mann-Whitney y de Kruskal-Wallis, ANOVA y regresiôn lineal multiple. Resultados. El 82,97 % de los enfermos usaba antirretrovirales, 74,66 % el cumplimiento del tratamiento fue superior al 95 %, y 74,68 % tenia recuento de linfocitos CD4 superiores a 200 células por mm³. Los puntajes de calidad de vida relacionada con la salud estuvieron entre 60,46 y 90,24. La presencia de enfermedad, la satisfacciôn con el apoyo familiar y con la situaciôn econômica, constituyeron los factores condicionantes mâs relevantes para la calidad de vida del grupo de estudio. Conclusion. En este grupo, la calidad de vida relacionada con la salud fue explicada por aspectos que trascienden el dominio biolôgico y se relacionan directamente con la dimension econômica y el apoyo social. [ABSTRACT FROM AUTHOR]

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