血液透析患者抑郁症状的调查及对策

The Research and Rreatment of Depressive Disorder on the Patients of Hemodialysis

目的探讨血液透析患者的抑郁状况及对策。方法采用Zung抑郁自评表对58例维持血液透析患者进行问卷调查,并针对所存在的问题进行处理。结果58例维持性血液透析患者中有42例(72.4%)存在抑郁,病人的性别、年龄、文化程度不同,抑郁发生率无明显差异(P>0.05);而透析时间、病人对家庭关心的满意度、经济状况、医疗费用来源等因素,对其抑郁的发生有显著影响。结论医护人员应根据血液透析患者的抑郁状况,采取积极有效的干预,提高透析质量,减少透析的不良反应及并发症,延长患者的生命。

Objective To investigate depressive conditions and therapeutic methods on the patients with maintenace hemodialysis. Methods 58 patients with maintenance hemodialysis were evaluated by the Zung＇ s Depression Scale, and causes of depression were analyzed. Results Among 58 patients with maintenance hemodialysis,42 cases （72. 4 % ） had depressive disorder. The incidence of depression was not associated with sexuality, ages and educationalbaekground, but with the times of hemodialysis, satisfaction of care from the family, economic status and health care cost. Conclusions Staff should analyze causes of depression and make use of active effective intervention for improving the quality of hemodialysis,reducing adverse effect prolonging the patients＇ lifetime.