中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (02): 65-69.doi: 10.3969/j.issn.1671-4091.2014.02.001

• 临床研究 •    下一篇

收入和受教育水平对腹膜透析患者心理状态的影响

王琴1 ,任野平1 ,董捷2 ,陈孟华3 ,赵慧萍4 ,朱彤莹5 ,田娜3 ,王梅4 ,郝传明5, 王海燕2   

  1. 150086 哈尔滨,1哈尔滨医科大学附属第二医院肾内科
    100034 北京，2北京大学第一医院肾内科，北京大学身病研究所，卫生部肾病重点实验室，教育部慢性
    肾脏病防治重点实验室
    750004 银川，3宁夏医科大学总医院肾内科；
    100044 北京，4北京大学人民医院肾内科
    200040 上海，5复旦大学华山医院肾内科
  • 收稿日期:2013-12-06 修回日期:2013-12-09 出版日期:2014-02-12 发布日期:2014-02-12
  • 通讯作者: 任野平 renyeping123@126.com E-mail:renyeping123@126.com

The impact of income and education levels on psychological status in patients on peritoneal dialysis

  • Received:2013-12-06 Revised:2013-12-09 Online:2014-02-12 Published:2014-02-12

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摘要： 【摘要】 目的 研究收入和受教育水平对腹膜透析患者心理状态的影响。方法 在中国不同城市的5 家腹透中心进行横断面调查，入选2011 年4 月1 日至2011 年8 月31 日稳定在透3个月以上的共858名腹膜透析患者，记录患者的基本信息、透析充分性、生化评估、焦虑自评量表及抑郁自评量表评估结果，根据患者的人年平均收入和受教育水平分组，分析收入水平和受教育水平对患者焦虑抑郁状态的影响。结果 焦虑和抑郁的患病率分别为15.4%和58.3%；经年龄、性别、体重指数、透析龄、血红蛋白、血白蛋白、超敏C反应蛋白、透析Kt/V、残肾Kt/V校正后，受教育水平是抑郁的显著预测因子，与小学及以下学历患者相比，高中以上学历患者的抑郁风险将增加127.8%，而收入水平与焦虑抑郁状态无显著相关性。结论 受教育水平是腹膜透析患者抑郁的独立危险因素。

关键词: 腹膜透析, 受教育水平, 收入水平, 焦虑, 抑郁

Abstract: Objective To explore the impact of income and education levels on psychological status in patients on peritoneal dialysis (PD). Methods A total of 858 PD patients from 5 centers, treated for more than 3 months between April 1, 2011 and August 31, 2011, and with stable disease condition were enrolled in this study. General information, biochemical parameters, Self-rating Depression Scale (SDS), and Self-rating Anxiety Scale (SAS) were collected from the patients. The impact of income and education levels on prevalence of anxiety and depression were analyzed by binary logistic regression. Results The prevalence of anxiety and depression was 15.4% and 58.3%, respectively. Higher educational level was a significant predictor for depression in PD patients (β=1.259, P=0.019). Compared to the patients with elementary school education or lower, the risk of depression increased by 127.8% in patients with high school education or higher after adjustment for age, gender, body mass index, serum albumin, high- sensitive C reactive protein, dialysis age and renal urea clearance (β=2.278, P=0.012). However, there was no significant correlation between income level and prevalence of anxiety and depression (β=1.079, P=0.545). Conclusion Higher education level was an independent risk factor for depression in PD patients.

Key words: Peritoneal dialysis, Education level, Income level, Anxiety, Depression