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终末期肾脏病血液透析患者的情绪状况及其影响因素 被引量:15

The mood in hemodialysis patients with end-stage renal diseasevand its influencing factors
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摘要 目的探讨接受血液透析的终末期肾脏病患者情绪状况及其影响因素。方法回顾性选取2018年11月~2019年11月我院接受血液透析的终末期肾脏病患者90例,依据CES-D评分分为抑郁组(≥16分,n=40)和非抑郁组(<16分,n=50)两组,统计分析两组患者的一般资料、自觉症状、吸烟、饮酒情况,多元Logistic回归探讨终末期肾脏病血液透析患者抑郁的影响因素。结果90例患者中,精神抑郁40例,非精神抑郁50例,精神抑郁发生率为44.4%,其中精神抑郁症组患者中无工作比例显著高于非精神抑郁组(P<0.05),正常上班比例显著低于非精神抑郁组(P<0.05),无固定收入、个人月收入<2000元比例显著高于非精神抑郁组(P<0.05),2000~4000元、>4000元比例均显著低于非精神抑郁组(P<0.05),腹胀腹部不适发生率显著高于非精神抑郁组(P<0.05),睡眠质量好比例显著低于非精神抑郁组(P<0.05)。多元Logistic回归分析显示,终末期肾脏病血液透析患者精神抑郁的影响因素包括个人月收入、睡眠质量(P<0.05)。结论接受血液透析的终末期肾脏病患者精神抑郁发生率高,影响因素包括个人月收入、睡眠质量。 Objective To explore the mood of end-stage renal disease patients receiving hemodialysis and its influencing factors.Methods 90 cases of patients with end-stage renal disease who received hemodialysis in our hospital from November 2018 to November 2019 were retrospectively selected.According to CES-D scores,they were divided into two groups:depression group(≥16 points,n=40)and non depression group(<16 points,n=50).The general information,self-conscious symptoms,smoking and drinking of the two groups were statistically analyzed,and the influencing factors of mental depression in dialysis patients were performed by multiple logistic regression analysis.Results Among the 90 cases of patients,40 cases were depression and 50 cases were non depression.The incidence of mental depression was 44.4%.Compared with non depression group,The proportion of no work,no fixed income and personal monthly income,the incidence of abdominal distention and discomfort in the mental depression group was significantly higher(P<0.05),the proportion of normal work,the proportions of 2000-4000 yuan and more than 4000 yuan,the proportion of good sleep quality was significantly lower(P<0.05).Multiple logistic regression analysis showed that the influencing factors of mental depression in hemodialysis patients with end-stage renal disease included personal monthly income and sleep quality(P<0.05).Conclusion The incidence of mental depression in patients with end-stage renal disease receiving hemodialysis is high,the influencing factors include personal monthly income and sleep quality.
作者 张九芝 ZHANG Jiuzhi(Xi’an Xi Dian Group Hospital,Xi’an 710077,China)
机构地区 西电集团医院
出处 《国际精神病学杂志》 2020年第3期593-595,598,共4页 Journal Of International Psychiatry
关键词 终末期肾脏病 血液透析 精神抑郁 影响因素 End stage renal disease Hemodialysis Depression Influencing factors
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