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热门期刊: 细胞研究(英文版)中华医学杂志(英文版)国际临床研究杂志

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首次血液透析的尿毒症患者抑郁的发生情况及影响因素

Occurrence situation and related factors of depression condition in patients with uremia on hemodialysis.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

陕西省铜川矿务局中心医院 ;
西安市中心医院 ;

摘要
【摘要】目的:探究首次血液透析的尿毒症患者抑郁的发生情况及影响因素。方法:选取76例2013年6月~2015年10月在本院接受血液透析的尿毒症患者作为研究对象,设计合理的问卷调查患者的一般情况和Zung氏抑郁自评量表(SDS),分析首次血液透析的尿毒症患者抑郁的发生情况,以及患者的一般资料与患者SDS评分之间的相关关系。结果:首次血液透析临近前,患者抑郁的发生率增加(透析前1周82.90%;透析前1天93.42%),且抑郁程度以轻、中度为主(透析前1周轻中度抑郁占76.32%;透析前1天轻中度抑郁占86.84%);血液透析后1周,患者抑郁的发生率依然较高(75.11%),差异有统计学意义(Χ2=12.4454;P=0.002)。患者的年龄、婚姻、文化程度、收入情况和社会支持情况对抑郁程度的影响具有有显著性意义(t=-4.214、-3.880、-5.799、3.672、4.368;所有P=0.000),年龄≥60岁、未婚、文化程度低、低收入和缺乏社会支持的患者抑郁情绪的发生率高;而性别和病程对患者的情绪影响不明显(t=-2.637、-1.252;P=0.009、0.213)。结论:尿毒症病人在进行首次血液稀释治疗前后抑郁的发生率较高,且患者的年龄、婚姻、文化程度、收入情况和社会支持情况对抑郁程度具有显著影响,提示医师在治疗和护理此类患者时应加强警惕,并采取相应措施缓解抑郁情绪,保护患者的心理健康,以达到更好的治疗效果。
【Abstract】Objective:To investigate the occurrence situation and related fact ors of depression condition in patients with uremia on hemodialysis.Methods:76 patients with uremia on hemodialysis between June 2013 and October 2015 were set as research object.Logical questionnaire survey were designed to investigate patients’ general condition and scores of SDS.Relationship between patients’ general condition and scores of SDS were analyzed.Results:Before the first hemodialysis,the incidence rate of depression condition were increase(1week before the hemodialysis 82.90%;1day before the hemodialysis 93.42%).And the majority degree of depression were mild and moderate (1week before the hemodialysis,76.32%patients were mild and moderate depression;1day before the hemodialysis,86.84%patients were mild and moderate depression).After the first hemodialysis,the incidence rate of depression condition were still increase(1week after the hemodialysis 75.11%),the difference was statistically significant(χ2=12.4454;P=0.002).More than 60years old,unmarried,low education level,low income,and lack of Social support can increase the incidence rate of depression condition,the difference was statistically significant(t=-4.214,-3.880,-5.799,3.672,4.368;all P=0.000).But gender and course of disease have unconspicuous infect on patients’ emotion,the differences were not statistically significant(t=-2.637,-1.252;P=0.009,0.213).Conclusion:Before and after the first hemodialysis,the incidence rate of depression condition were increase..And the patients age, marriage, culture degree, income and social support has significant effects on depression severity, prompt physicians during treatment and care of such patients should strengthen alert, and take corresponding measures to alleviate depression, protect the patients mental health, in order to achieve a better therapeutic effect.
关键词
【关键词】尿毒症;首次血液透析;抑郁;发生情况;影响因素
【Key words】Uremia;Hemodialysis;Depression;Occurrence situation;Related factor
基金项目
页码 873-875
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