维持性透析患者心理健康状况测评

Investigation of mental health condition in patients with maintenance dialysis

目的:探讨维持性透析患者心理健康状况及不同的透析方式对患者心理健康状况的影响。方法:选取维持性血液透析患者168名,腹膜透析患者115名,同时选取慢性肾功能不全患者140名做为对照,此组患者均未接受任何透析治疗。应用症状自评量表(SCL-90)和艾森克人格问卷(EPQ成人)为测量工具。测量患者在开始行透析治疗后,对照组为最近1个月时间内,思维、情感、行为、人际关系、生活习惯变化及人格结构改变等方面的情况。结果:维持性透析患者在人际关系敏感性、抑郁、焦虑、睡眠、饮食等方面因子分高于对照组。在人格量表中E和N量表的分值在维持性透析患者中偏高。对照组患者的躯体化的得分最高。躯体化和N量表的得分在血液透析和腹膜透析两组患者之间不同。结论:终末期肾病患者在开始规律透析治疗后仍存在着躯体和精神方面的问题,两种透析方式间存在少量差别,所以对于终末期肾病患者除了要充分透析,还要注意改善和治疗患者精神方面的疾病。

Objective： To investigate the mental health condition of patients with maintenance dialysis and the difference between hemodialysis and peritoneal dialysis patients. Methods： 168 hemodialysis, 115 peritoneal dialysis patients and 140 （as control）chronic renal insufficiency patients who did not take any dialysis were involved.Symptom Checklist 90 and eysenck personality questionnaire were used as survey tool to Participants＇ s somatization,obsessive compulsive, interpersonal sensitivity, depression,anxiety, hostility, phobic anxiety, paranoid ideation,psychoticism and personality. Results：People with maintenance dialysis had higher marks than control people in interpersonal sensitivity, depression, anxiety, hostility,interpersonal sensitivity,E and N checkhst.Chronic renal insufficiency patients who did not take any dialysis had highest marks in somatization.The marks of somatization and N checklist were different between hemodialysis and peritoneal dialysis patients. Conclusion：People with end-stage renal disease have severe body and mental problem.There are little differences between hemodialysis and peritoneal dialysis patients, so we not only require end-stage renal disease people to undergo sufficient hemodialysis, but also to consentrate on treatment of their mental disease.