Abstract
Background: The role of quality of life and coping strategy with the HIV/AIDS disease cannot be overemphasized. In view of the above present study was planned to assess the Quality of life and coping in sero-positive cases. Material and Method: 182 patients with HIV sero-positive status on HAART for at least 3mths formed a study group. Individuals with a past history of mental illness / head injury / dementia and co-morbid psychiatric disorder were excluded. The cases with co-existing opportunistic infections and malignancy were also excluded. CD4 count was done using the Flow Cytometry, Scales pertaining to Coping, Quality of Life and Personality factors were applied. Data was analyzed with the help of SPSS 17. ANOVA and Kruskal wallis test was done. Results: The CD4 count was 200-500 /micro L in 69%, 16.5% had below 200/micro L and the rest 14.3% had the count above 500/micro L. The treatment profile of patients found 85.2% of patients on ART. Coping Resources fall within normal range. Domains of Quality of Life Scale namely Physical health, feelings and emotions, Pain and Sleep had higher mean score revealing better quality of life, Quality of life compromised was in the domain of appetite and food intake daily activities, cognitive functions and social support. Conclusion: Findings revealed significant association between CD4count and quality of life. There was a positive relationship with quality of life scale domains of Physical health and CD 4 count. Enhancement of quality of life in HIV sero-positive cases can be done by promoting adherence to ART and adapting healthy coping strategies.
Highlights
HIV/AIDS places an increasing burden on the health of the population, and causes further socioeconomic problems for individuals, families, communities, and governments in many countries [1]
Enhancement of quality of life in HIV sero-positive cases can be done by promoting adherence to ART and adapting healthy coping strategies
The majority of the cases reported heterosexual mode of transmission (64.3%) followed by parenteral (Table 5). 69.2% had CD 4 Count in 200 to 500 range, only 16.5 % had CD4 count less than 200, 14.3% noted to be having in the range of 500 / per micro L
Summary
HIV/AIDS places an increasing burden on the health of the population, and causes further socioeconomic problems for individuals, families, communities, and governments in many countries [1]. For a person living with HIV, this means having to cope with a range of HIVrelated symptoms for extended periods. Evaluation of health-related quality of life (HRQOL) is useful for commenting on patients’ perceived burden of disease and quantifying changes and the effects of treatment in health over time [4]. It is elaborated significantly that Quality of life relates both to adequacy of material circumstances and to personal feelings about these circumstances. It includes "overall subjective feelings of well being that are closely related to morale, happiness and satisfaction" [9]. The role of quality of life and coping strategy with the HIV/AIDS disease cannot be overemphasized. In view of the above present study was planned to assess the Quality of life and coping in sero-positive cases
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