Evaluación del cuestionario de calidad de vida relacionada con la salud: Evaluación funcional de la infección por VIH en pacientes portadores de VIH

Carla Francolino; Julia Galzerano; Mariela Mansilla; Juan Dapueto; Mónica Llado; Beatriz Deque

Authors

Carla Francolino Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica. Profesora Agregada
Julia Galzerano Universidad de la República, Facultad de Medicina, Clínica Médica C. Ex Asistente de Comunidad. CASMU, Unidad de Medicina Preventiva
Mariela Mansilla Universidad de la República, Facultad de Medicina, Enfermedades Infecciosas, Ex Profesora Adjunto. CASMU, Unidad de Medicina Preventiva
Juan Dapueto Universidad de la República, Facultad de Medicina, Departamento de Psicología Médica. Profesor Agregado
Mónica Llado Universidad de la República, Facultad Psicología, Psicología Vejez, Profesora Adjunta. CASMU, Unidad de Psicología Médica
Beatriz Deque CASMU, Unidad de Medicina Preventiva

Keywords:

QUALITY OF LIFE, QUESTIONNAIRES, HIV

Abstract

Introduction: health related quality of life has become a measurement for effectiveness in the clinical studies of patients who a re HIV carriers, through the effectiveness of antretroviral treatments, even considering HIV as a chronic disease.
Objectives: to evaluate a tool for measuring the health related quality of life assessment (FAHI - Functional Assessment of HIV infection) and its association with a series of clinical, psychological and socio-demographical variables of a population living with HIV.
Methods: this is an analytical-descriptive study of the FAHI in patients carriers of HIV at the preventive medicine unit of the Uruguayan Medical Association Health Care Center (CASMU). We studied the validity and reliability of the instruments used.
Results: the FAHI proved to have adequate internal consistency. The presence of low CD4 lymphocyte count, greater viral load levels for HIV and/or AIDS staging according to the classification of the Centers for Disease Control and Prevention (CDC), were not associated with a worse perception of the FAHI. Receiving antiretroviral treatment was associated to a better functional level both in men and women, there being a worse perception of physical wellbeing among women.
Conclusion: the internal consistency of FAHI proved to be appropriate and it is a valid tool compared to the original one. We stand out the importance of evaluating the FAHI when it comes to deciding initiating or changing antiretroviral treatments. As to the psychological discomfort, SCL90-R was positively correlated with the perception of the health-related quality of life.

References

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