尿毒症患者30例抑郁状况相关因素调查

Investigation on Relevant Factor of Depression in 30 Uremic Patients

目的探讨尿毒症患者的抑郁状态及相关因素。方法用HAMD抑郁量表对30例尿毒症患者进行测评,并对其相关因素进行分析。结果30例尿毒症患者有20例伴有抑郁,发生率为66.7%。单因素分析:对家人、亲友、医护人员的关心自觉满意度、治疗费用的支付方式、对自身健康的评价、疾病程度、知情、对家庭的责任感、收入占家庭中的比例和生活事件因素与抑郁状态相关(P<0.05)。经Longistic回归分析,家人对患者的关心、疾病程度、对家庭的责任感、治疗费用和生活事件与抑郁状态显著相关(P<0.01)。结论尿毒症患者的抑郁状态与疾病、社会支持、生活事件等因素有关,为心理干预提供了依据。

[Objective] To study the symptoms and relevant factors of depression in uremic patients. [Methods] 30 uremic patients were assessed with Hamilton Rating Scale for Depression（ HAMD）, and the relevant factors were analyzed. [ Results] Among 30 uremic patients, 20 cases（ 66.7% ）were detected as depression. Single factor analysis showed that lack of support from family, relatives, doctors and nurses, payment form of medical expenses, low health self-evaluation , disease level, the cognizance of diagnosis, the responsibility to family, proportion of family income, and life events were correlated with depression （ P 〈 0. 05 ）. With logistic regression analysis, the support from family, disease level, the responsibility to family and life events were correlated with depression significantly （P 〈 0.01 ）. [ Conclusion] The depression of uremic patients is correlated with disease, social support and life event, which provide evidence for psychological intervention.