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Development of quality of life with WHOQOL-HIV BREF Korean version among HIV patients in Korea

후천성면역결핍환자의 삶의 질 측정을 위한 한국판 WHOQOL-HIV BREF 개발

  • Lee, Won Kee (School of Medicine, Kyungpook National University) ;
  • Kim, Shin-Woo (School of Medicine, Kyungpook National University) ;
  • Kim, Hye-In (School of Medicine, Kyungpook National University) ;
  • Chang, Hyun-Ha (School of Medicine, Kyungpook National University) ;
  • Lee, Jong-Myung (School of Medicine, Kyungpook National University) ;
  • Kim, Yoon-Joo (School of Public Health, Kyungpook National University) ;
  • Lee, Mi-Young (Korea Centers for Disease Control and Prevention)
  • 이원기 (경북대학교 의학전문대학원) ;
  • 김신우 (경북대학교 의학전문대학원) ;
  • 김혜인 (경북대학교 의학전문대학원) ;
  • 장현하 (경북대학교 의학전문대학원) ;
  • 이종명 (경북대학교 의학전문대학원) ;
  • 김윤주 (경북대학교 보건대학원) ;
  • 이미영 (질병관리본부)
  • Received : 2013.12.16
  • Accepted : 2014.02.22
  • Published : 2014.03.31

Abstract

There is no known publication about assessment of quality of life (QOL) in Korean HIV patients. We aimed to assess the QOL of HIV patients. We developed Korean version of the WHOQOL-HIV BREF (short forms of WHOQOL-HIV, 31 questions with 6 domains). Survey data from 220 HIV-positive adults were obtained in 14 centers in South Korea. Male were dominant (202/220, 91.8%). Mean age was $40.6{\pm}12.1$. Mean CD4+ T-cell count was $414.9{\pm}226.6/ml$. Overall of WHOQOL-HIV BREF were $53.2{\pm}14.9$ (perfect score=100) (Cronbach's ${\alpha}$ = 0.942). It is similar score comparing to another country (Portugal: 54.75/100, measured by WHOQOL-HIV). Correlations of WHOQOL-HIV BREF score with patients' subjective QOL and with subjective satisfaction were 0.747 (p <0.01) and 0.651 (p <0.01), respectively. WHOQOL-HIV BREF have internal reliability. There is in need of monitoring for QOL of HIV patients in the clinical practice and trials. This survey tool could be used to assess the effect of intervention. Additionally, comparison across countries would be possible and promising.

세계보건협회에서 인간후천성면역결핍환자 (human immunodeficiency virus; HIV)의 삶의 질을 측정하기 위해 개발한 WHOQOL-HIV BREF (World Health Organization's quality of life - human immunodeficiency virus, brief scale)를 한국판으로 번역 개발하였다. 설문 문항은 전반적 삶의 질과 건강상태를 묻는 두 문항과 6개의 도메인을 포함한 29문항을 합하여 총 31문항으로 구성되어 있다. 자료수집은 국내 14개 병원에 내원한 220명의 인간면역결핍바이러스 양성환자를 대상으로 전문조사원이 무기명 자가 기입식으로 조사하였다. 대상자 중 남성이 202명 (91.8%), 평균 나이는 40.6세, 평균 CD4+ T 세포수는 1ml당 414.9개였다. 삶의 질은 평균 53.2점이었고 도구의 크론바흐 ${\alpha}$ 신뢰계수는 0.942였다. 동일 도구로 측정한 포르투칼의 경우 54.8점으로 유사하였으며 전반적인 삶의 질과 건강상태와의 상관관계는 각각 0.747 (p <0.01)과 0.651 (p <0.01)이었다. 한국판 도구의 내적신뢰도와 구성타당도도 만족스러웠다. 후천성면역결핍증후군과 인간면역결핍바이러스 환자의 지속적인 관찰은 필요하며 이러한 도구의 개발은 이들의 삶 삶의 질 향상에 기여할 뿐만 아니라 다른 나라 환자들과의 비교를 가능하게 해 줄 것이다.

Keywords

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