狼疮性肾炎患者焦虑抑郁症状的调查及其心理干预

Survey on anxiety and depression for patients with lupus nephritis during recovery period and its psychologi-cal intervention

目的了解狼疮性肾炎患者的焦虑、抑郁状况,并进行心理干预效果评估。方法采用焦虑自评量表（SAS,self-rating anxiety scale）和抑郁自评量表（SDS,self-rating depression scale）对128例狼疮性肾炎患者分别进行问卷调查,根据调查存在的心理问题,实施为期4周的心理干预后,再测评SAS及SDS,并与心理干预前加以比较。结果狼疮性肾炎患者存在着一定程度的焦虑及抑郁症状;经过为期4周的心理干预后,其SAS及SDS评分分别由（49.8±10.2）和（48.5±10.3）降为（40.3±8.7）和（40.6±8.4）（P〈0.01）,其焦虑和抑郁的发生率分别由37.5%和43.0%降为8.6%和15.6%（P〈0.01）。结论狼疮性肾炎患者存在一定程度的焦虑和抑郁症状,心理干预可明显缓解狼疮性肾炎患者的焦虑和抑郁症状。

Objective To study the status of anxiety and depression for patients with lupus ne-phritis during recovery period, and to evaluate the effect of psychological intervention. Methods 128 patients were surveyed by questionnaire of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） Based on the existing psychological problem, 4 weeks of psychological intervention were conducted. SAS and SDS were used for resurvey after intervention and results were compared. Results The score of SAS and SDS after psychological intervention were reduced, for SAS from（49.85±10.6） to （40.35±8.7） ,for SDS from （48.5±10.3） to （40.6±8.4） respectively. There are significant difference in SAS and SDS scores before and after psychological intervention （P〈0.01）. The rate of anxiety and depression before and after psychological intervention were reduced from 37.5% and 43.0% to 8.6% and 15.6% respec- tively. There are significant difference among them （P〈0.01）. Conclusions The patients with lupus Ne- phritis lupus accompany with Anxiety and depression to a certain degree; psychological intervention can alleviate anxiety and depression significantly.