中国血液净化

›› 2007, Vol. 6 ›› Issue (12): 652-655.

• 论著 • 上一篇    下一篇

慢性透析患者的焦虑和抑郁状态及其相关因素分析

1蒋红樱 2张 利 3黄 旭 4聂明英 1余云霞 1陶永慧   

  1. 650101 昆明，昆明医学院第二附属医院1.肾内科，2血液透析室，3心理卫生门诊 665100 宁耳，4.云南省宁耳县医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-12-12 发布日期:2007-12-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2007-12-12 Published:2007-12-12

RichHTML

0

PDF

840

摘要： 目的 探讨慢性肾衰竭接受血液透析和腹膜透析患者的情绪障碍，即焦虑症状和抑郁症状的发生情况及其影响因素，从而为提高尿毒症治疗效果、合理选择透析方法提供依据。方法 选择昆明医学院第二附属医院肾内科对107例透析患者和42例患其他疾病的患者，使用Hamilton焦虑表和Hamilton抑郁表分透析方法、透析持续的时间、透析前对肾衰竭的知晓度等，来评估患者的情绪状况。同时了解患者透析费用的来源。结果 本组107例慢性肾衰竭接受透析的患者，Hamilton焦虑评分(15.1±8.6)，Hamilton抑郁评分(12.3±6.8)，高于患其他疾病的患者(9.47±5.26)，(8.81±5.82)，差异有显著性(P＜0.05)。肾衰竭原因的不知晓的患者Hamilton焦虑评分(18.34±5.30）和Hamilton抑郁评分(13.42±7.9），明显高于肾衰竭原因的知晓的患者(14.12±6.33，10.55±7.01)，且差异具有显著性(P＜0.05)。透析0～30天，腹膜透析患者的Hamilton焦虑评分和抑郁评分，明显高于血液透析患者，且差异具有显著性(P＜0.05)。但透析30天以上血液透析都其Hamilton焦虑和抑郁评分，高于腹膜透析患者，差异具有显著性(P＜0.05)。自费患者Hamilton 焦虑评分和抑郁评分明显高于公费患者，差异也有显著性(P＜0.01)。男性Hamilton焦虑评分(14.63±5.47）高于女性(8.73±4.33），而女性Hamilton抑郁评分(13.55±7.00）高于男性(7.31±5.43)，差异有统计学意义(P＜0.05）。 结论 透析患者焦虑和抑郁症状的发生率较高，与患者的透析方法、透析时间、经济、性别、透析前对肾衰竭的知晓度等存在显著相关性。

关键词: 透析, 焦虑, 抑郁

Abstract:

Objective To detect the condition of anxiety and depression in uremic patients undergoing hemodialysis and peritoneal dialysis, and the relation-ship between these emotion disorder and the methods of treatments, in order to increase the effects of these therapies. Methods One hundred and seven uremic dialysis patients and forty two other patients were evaluated, their mood status was evaluated with Hamilton Anxiety Scale and Hamilton Depression Scale. Dialysis method, dialysis duration and acquaint with uremic before dialysis were classified. Meanwhile, analyze the economic background of the patients. Result The uremic patients with hemodialysis therapy have significant higher anxiely scale (15.1±8.6) and higher depression scale (12.3±6.8) then other patients (9.47±5.26，8.81±5.82) (P＜0.05). The uremic During 0-30 days dialysis, peritoneal dialysis patients attained significant higher Hamilton Anxiety Scale and Hamilton Depression Scale than those of hemodialysis patients (P＜0.05). But after one month treatment, hemodialysis patients had higher anxiely scale and higher depression scale than those of peritoneal dialysis patients (P＜0.05). Hamilton Anxiety and depression scale in patients without government reimbursement were significant higher than those of patients with completely government reimbursement (P＜0.05). Hamilton Anxiety of male patients (14.63±5.47) was significant higher than that of female patients ( 8.73±4.33), but the depression scales of female patients (13.55±7.00) was significant higher than that of male patients (7.31±5.43) (P＜0.05). Conclusion The incidents of anxiety and depression were higher among uremic patients undergoing hemodialysis and peritoneal dialysis, this is significnat associated with dialysis method, duration of treatment, patients economic background, their gender, and whether they acquaint with their disease causing uremia before dialysis.

Key words: Anxiety, Depression

中图分类号: