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Evaluation of impact of social support and care on HIV-positive and AIDS individuals’ quality of life: a nonrandomised community trial.

Evaluation of impact of social support and care on HIV-positive and AIDS individuals’ quality of life: a nonrandomised community trial.
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Li XM, Yuan XQ, Wang JJ, Zhang WY, Zhou Y, Liu GN,


Li XM, Yuan XQ, Wang JJ, Zhang WY, Zhou Y, Liu GN, (click to view)

Li XM, Yuan XQ, Wang JJ, Zhang WY, Zhou Y, Liu GN,

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Journal of clinical nursing 2016 9 20() doi 10.1111/jocn.13377

Abstract
AIMS AND OBJECTIVES
Our study was conducted to further investigate the model of social support and care for People Living with HIV/AIDS(PLHA), to explore their role in People Living with AIDS’s quality of life (QOL) as reference for improving nursing policies for AIDS.

BACKGROUND
Social support and care are the most important factors impacting the QOL of People Living with HIV/AIDS, but most studies conducted upon the influence of social support and QOL of People Living with HIV/AIDS are mainly based on cross-sectional design.

DESIGN
Our study was a nonrandomised controlled community intervention study.

METHODS
The participants diagnosed as People Living with HIV/AIDS at Beijing You An Hospital received a comprehensive social support care from December 2013 to December 2014. To evaluate the impact of social support and care model on People Living with HIV/AIDS, our study analysed the different dimension scores of social support scale and quality of life before and after the intervention. Correlation between the net benefit value of social support and that of QOL from various dimensions were analysed.

RESULTS
There were significant differences in the score of objective support and usage of support (all p = 0·02) for social support. Net values of objective support score and usage of support were 0·25 and 0·19, respectively, after intervention. There were significant differences in physiological function, role physical, general health, vitality, social function, mental health, health transition and total score of quality of life (all p < 0·05). The canonical correlation analysis of net values of social support and QOL indicated that the first and second canonical correlation were statistically significant, with correlation coefficients of 0·53 (p = 0·00) and 0·21 (p = 0·04). CONCLUSION
Social support and care intervention model can effectively improve perceived subjective feeling on social support and QOL condition for People Living with HIV/AIDS. And strategies to improve social support and care intervention programmes are strongly encouraged.

RELEVANCE TO CLINICAL PRACTICE
The method is simple and cost-effective and could be a way to improve the quality of life condition for People Living with HIV/AIDS.

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