摘要
目的:探讨以5E为核心的康复治疗对改善血液透析患者抑郁的作用。方法:50例维持性血液透析大于3个月患者纳入本研究,使用汉密顿抑郁量表(HAMD)分别在研究开始、研究结束时评估患者的抑郁症状,对患者实施以5E为核心的康复干预,主要内容包括鼓励、教育、锻炼、工作及评估。随访6个月观察患者抑郁症状的变化。结果:50例患者完成随访研究,研究终末时具有具有抑郁症状患者由开始时的28例减少到11例。患者在研究开始与随访6月时患者抑郁症状的发生率与抑郁评分分别为(56%比22%,χ2=3.7,P<0.05)与[(6.7±5.1)比(5.0±4.7),t=2.73,P<0.05]。患者在随访终末时抑郁症状的发生率及抑郁评分较研究开始时均显著降低。结论:本研究表明以5E为核心的康复治疗能明显改善维持性血液透析患者的精神症状。
Objective：To investigate the role of 5E rehabilitation program in improving psychological Status on the maintained hemodialysis（MH） patients. Methods： Fifty patients who had received MH for a minimum duration of 3 months were recruited in this study. Depression was evaluated using Hamilton Depression Rating Scale in the beginning and the end of this study,respectively. 5E rehabilitation interventions including encouragement, education, exercise, employment and evaluation were implemented on these patients, and the patients were followed up for 6 months. Results： Fifty patients completed this study. At the end of this study,patients with depressive symptom decreased from 28 cases in the beginning to 11 cases at the end. The prevalence and depression scores in the beginning and at the end of this study were 56% vs 22%, （P〈0.05）and 6.74±5.1 vs 5.0±4. 7, （P〈0. 05） respectively. Conclusion.. This study demonstraeted that 5E rehabilitation program can improve psychiatric symptoms on the maintained hemodialysis patients.
出处
《华西医学》
CAS
2009年第5期1111-1113,共3页
West China Medical Journal
关键词
血液透析
5E
康复治疗
抑郁
hemodialysis
5E
rehabilitation treatment
depression
