Factors that influence health-related quality of life and satisfaction with care among adults at a community-based AIDS service organization
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Dr. Robert T. Dodge, PhD, RN, ANP, AACRN
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The purpose of this study was two-fold: (a) to describe health-related quality of life and satisfaction with care among adults at a community-based AIDS service organization, and (b) to identify the socio-demographic variables that influence health-related quality of life and satisfaction with care. The theoretical frameworks that guided this study were the Wilson and Cleary's (1995) health-related quality of life conceptual model of patient outcomes and Ware's (1978) taxonomy of patient satisfaction. The research design consisted of a nonexperimental, descriptive and correlational study that was designed to describe health-related quality of life and satisfaction with care among adults at a community-based AIDS service organization. The focus of this research was to examine the influence among socio-demographic variables on health-related quality of life and satisfaction with care. Factors were examined retrospectively and data were gathered at one point in time. A convenient sample of 81 subjects that consisted of adults who (a) were 18 years of age or older, (b) had documented positive ELISA and western blot tests for HIV-1 or 2 virus, (c) read and spoke English, (d) had a Karnofsky score of 80 or higher, and (e) had attended a minimum of four primary health care appointments. Data were collected using the HIV Overview of Problems-Evaluation System (HOPES) and DiTomasso-Willard Patient Satisfaction Questionnaire (DWPSQ). The results of this study indicate that health-related quality of life and satisfaction with care were positive among adults receiving care at a community-based AIDS service organization. ANOVA revealed that differences in health-related quality of life scores were statistically significant between regional clinics, that patients at clinic B reported the highest health-related quality of life scores, and that satisfaction with care was the highest among subjects who had a nurse practitioner as a health care provider. There was a statistically significant negative correlation between health-related quality of life and Kamofsky scores. Satisfaction with care had two statistically significant negative correlations: (a) gender and (b) treatment with HIV medications. Socio-demographic variables did not determine the perception of health-related quality of life and satisfaction with care among the adults who were participants in this study.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3075233; ProQuest document ID: 304789718. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Community Nursing; AIDS Patients; Patient Care |
CINAHL Subject(s) | HIV-Infected Patients; Patient Satisfaction; Quality of Life |
Grantor | The Catholic University of America |
Advisor | Flaherty, Mary Jean |
Level | Doctoral-Other |
Year | 2002 |
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