摘要
目的探讨维持性血液透析患者抑郁状态及其相关影响因素分析。方法采用横断面研究方法,选择2017年1月~2018年10月在医院行维持性透析治疗的患者180例为调查对象。采用自制的一般人口学特征调查问卷对患者一般资料进行调查,采用HAMD量表对患者抑郁情况进行调查,采用社会支持评定量表对患者社会支持情况进行评价,采用综合主观性评估对患者营养状况进行评估,采用合并症评估量表对患者合并症情况进行评价。单因素及多因素分析维持性血液透析患者抑郁状态的影响因素。结果单因素分析结果显示:年龄≥60岁、未婚/离异、非住院、重度营养不良、重度合并症、社会支持低的患者抑郁发生率更高,差异有统计学意义(P<0.05)。多因素分析结果显示:在婚、社会支持高是维持性血液透析患者抑郁的保护因素,重度营养不良、重度合并症是抑郁的危险因素(P<0.05)。结论维持性血液透析患者有50%左右存在不同程度的抑郁情况,而患者在婚、社会支持度高的患者抑郁发生率更低,重度营养不良、重度合并症的患者抑郁发生率高。
Objective To investigate the depression status and related influencing factors in maintenance hemodialysis patients.Methods 180 patients who underwent maintenance dialysis in the hospital from January 2017 to August 2018 were selected by using a cross-sectional study.The patient's general data were investigated by using the self-made general demographic survey questionnaire.The HAMD scale was used to investigate the patient's depression.The social support rating scale was used to evaluate the patient's social support,and the comprehensive subjective assessment was used to assess the patient's nutritional status.The comorbidity assessment scale was used to evaluate the patient's comorbidities.Univariate and multivariate factors analysis was used to analyze the influencing factors of depression in maintenance hemodialysis patients.Results The results of single factor analysis showed that the incidence of depression was higher in patients aged≥60 years,unmarried/divorced,nonhospital,severe malnutrition,severe comorbidity and low social support,and the difference was statistically significant(P<0.05).Multivariate analysis showed that remarriage and high social support were protective factors for depression in maintenance hemodialysis patients.Severe malnutrition and severe comorbidities were risk factors for depression(P<0.05).Conclusion About 50%of maintenance hemodialysis patients have different degrees of depression.Patients with remarriage and high social support have a lower incidence of depression.Patients with severe malnutrition and severe comorbidities have a higher incidence of depression.
作者
徐娟娟
许敏霞
卢亚飞
王海依
XU Juanjuan;XU Minxia;LU Yafei;WANG Haiyi(Department of Nephrology,Hangzhou Red Cross Hospital,Hangzhou 310003,China)
出处
《中国现代医生》
2019年第24期90-92,96,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018PY046)
关键词
维持性血液透析
抑郁
危险因素
营养不良
合并症
社会支持
Maintenance hemodialysis
Depression
Risk factors
Malnutrition
Comorbidities
Social support
