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Relationship quality among HIV patients and their caregivers.

机译:HIV患者及其护理人员之间的关系质量。

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Despite the increasing attention to caregivers of HIV patients, no previous study has systematically investigated the effects of the relationship quality between an HIV patient and their caregiver. The present study assessed 176 dyads consisting of an HIV-infected patient and their self-identified 'caregiver'. Relationship quality was measured by the Family Assessment Device (FAD). Dependent measures included the Beck Depression Inventory, SF-36 Physical Functioning Scale, Caregiver Strain Index and 4-day HIV treatment adherence. A substantial proportion of HIV patient-caregiver dyads reported difficulties in their relationships (17-66% depending upon FAD scale). The level of relationship difficulties was not strongly related to the type of patient-caregiver relationship. However, the quality of the HIV patient-caregiver relationship was significantly associated (p<0.05) with caregiver depression and burden as well as HIV patient depression, physical functioning and HIV medication adherence, even when the potential effects of length of HIV infection and social support were controlled. These results suggest that relationship quality is impaired in many patient-caregiver dyads and is uniquely associated with levels of depression, caregiver burden and treatment adherence.
机译:尽管越来越多地关注HIV病人的照料者,但是以前没有研究系统地调查过HIV病人与其照料者之间的关系质量的影响。本研究评估了176个dyad,其中包括HIV感染患者及其自我确定的“照料者”。关系质量通过家庭评估设备(FAD)进行测量。相关措施包括贝克抑郁量表,SF-36身体功能量表,护理者应变指数和4天HIV治疗依从性。很大一部分艾滋病毒患者看护者二联症患者报告了他们的关系困难(17-66%,取决于FAD量表)。关系困难的程度与患者-照顾者关系的类型没有强烈关系。然而,即使患者感染艾滋病毒的时间长短和社会交往的潜在影响,艾滋病患者与照顾者之间的关系质量也与照顾者的抑郁和负担以及艾滋病患者的抑郁,身体机能和艾滋病药物依从性显着相关(p <0.05)。支持得到控制。这些结果表明,在许多患者护理者二联症中,人际关系质量受损,并且与抑郁水平,护理者负担和治疗依从性密切相关。

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