长期血透病人抑郁障碍相关因素调查及心理调节

Study on depression factors and mental control in chronic renal failure patients with maintenance hemodialysis

目的研究长期血液透析病人发生抑郁障碍的相关因素,以提高慢性肾功能衰竭患者的心理承受能力和生活质量,从而做好心理调节。方法对62例长期血透病人进行汉米尔顿抑郁评定量表评分,分为抑郁组和非抑郁组,在组间进行性别、年龄、文化程度、就业率、医疗付费方式及营养状况的比较;并进行社会支持评定量表调查,以分析其相关性。结果35.5%的患者存在抑郁障碍;两组的年龄、性别、文化程度无显著差异,就业率和医疗付费方式存在显著差异,抑郁组的营养状况明显差于非抑郁组;抑郁组与社会支持呈负相关。结论抑郁障碍在长期血透病人中是常见的,并与社会支持呈负相关。心理调节不能忽视社会支持系统的作用,同时需要提高病人自我社会支持度的利用。

Objective: To study the depression factors due to maintenance hemodialysis and mental control for patients to lead a meaningful and long life. Method: The sixty-two cases with maintenance hemodialysis were divided into two groups according to Hamilton scale (HAMD) depression group and normal group. The author analyzed the relation by comparing the gender, age, culture grade, obtain employment rate, medical paid types, nutrition status and investigating the social Support Remark Sheet (SSRS). Result: There were 22 cases (35.5%) had depression mental; There were not significant difference between age?gender?culture grade but significant difference between obtain employment rate and medical paid types. The depression group had negative relation with social support. Conclusion: The depression is common symptom and have negative relation with social support in maintenance hemodialysis cases. It is very important that the mental control and patients use the social support.