老年腹膜透析患者焦虑和抑郁水平与营养状况关系研究

Study on the relationship between anxiety and depression level and nutritional status for the elderly patients with peritoneal dialysis

目的探讨老年腹膜透析患者的焦虑和抑郁水平与营养状况的关系。方法应用W.K.Zung的自评焦虑量表(SAS)、自评抑郁量表(SDS)和微营养评估(MNA)对68例老年腹膜透析患者进行调查。结果不同焦虑程度和抑郁程度的腹膜透析患者的MNA得分之间的比较均有统计学意义(P均<0.05)。焦虑程度越高,MNA得分越低;抑郁程度越高,MNA得分越低。结论老年腹膜透析患者的焦虑、抑郁水平和营养状况密切相关,护理人员在对营养不良患者进行饮食干预时,应重视对患者心理状态的评估。

Objective To study the relationship between anxiety and depression level and nutritional status for the elderly patients with peritoneal dialysis. Method 68 elderly patients with peritoneal dialysis were surveyed by selfrating anxiety scale （SAS） and self-rating depression scale （SDS） made by William W. K, Zung and Micro nutrient assessment （MNA）. Result There was significant different MNA score for patients with peritoneal dialysis at different degree of anxiety and depression level （P〈0.05）. The higher degree in anxiety and depression was observed, the lower score in MNA in patients. Conclusion Anxiety and depression are related closely to nutritional status in elderly patients with peritoneal dialysis. We have to pay attentions to the mental status of patients when we take targeted interventions to improve their nutritional status.