分析异常黑胆质型与非异常黑胆质型艾滋病病毒感染者/艾滋病病人(HIV/AIDS)患者在抑郁症患病情况与生存质量上的差异,探讨异常黑胆质体液对HIV/AIDS 患者抑郁症及生存质量的影响。依据维吾尔医学异常体液分型标准,对307 例HIV/AIDS 患者进行异常体液分型,并采用HAMD 抑郁量表与MOS-HIV 生存质量量表评价患者抑郁症患病情况及其生存质量。维医异常体液分型结果显示,异常黑胆质型患者占61.6%,非异常黑胆质型(异常血液质、异常黏液质及异常胆液质)患者占38.4%。异常黑胆质型HIV/AIDS 患者中患抑郁症者比例(79.9%)显著高于非异常黑胆质型患者(57.6%)(P<0.05);异常黑胆质型患者MOS-HIV 生存质量量表心理健康总分低于非异常黑胆质型患者(P<0.05),而生理健康总分两者差异无统计学意义(P>0.05)。异常黑胆质型患者在躯体功能、认知功能、健康转换3 个维度得分均高于非异常黑胆质型患者(P<0.05),而在社会功能、心理健康、精力/疲惫、健康压力4 个维度得分均低于非异常黑胆质型患者(P<0.05)。异常黑胆质型是HIV/AIDS 的主要异常体液证型,与非异常黑胆质型患者相比,该证型患者中抑郁症更为常见,对患者生存质量有一定影响,应在临床实践中给予重视,尽早进行维药干预,改善其生存质量。
This paper compares differences in depression and quality of life between abnormal savda and non-abnormal savda type HIV/AIDS patients to investigate the influence of abnormal savda on depression and health-related quality of life of HIV/AIDS patients. According to abnormal body fluid classification criteria in traditional Uyghur medicine, 307 HIV/AIDS patients were differentiated, and their depression status and quality of life were assessed using HAMD and MOS- HIV scales. Syndrome differentiation results revealed that abnormal savda type patients accounted for 61.6%, while non- abnormal savda type patients (abnormal khan, sapara and belhem syndrome types) accounted for 38.4%. The proportion of patients with depression in total number of abnormal savda type HIV/AIDS patients was greater than that in non-abnormal savda patients (P<0.05). The average scores of mental health from MOS-HIV quality of life scale were lower in abnormal savda patients than that in non-abnormal savda patients (P< 0.05); however, the difference in average scores of physical health was not statistically significant (P>0.05). The average scores of physical function, cognitive function and role transition in abnormal savda patients were higher than that in non-abnormal savda syndrome patients (P<0.05), but the average scores of four subscales including social function, mental health, fatigue/energy, and health pressure were lower (P<0.05). The main syndrome type in HIV/AIDS patients was abnormal savda syndrome. Compared to nonabnormal savda syndrome patients, depression was more common in abnormal savda syndrome type patients, and has quite severe effects on quality of life, which should be noticed and intervened with traditional Uyghur medication to improve patient's healthrelated quality of life.
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