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