腹膜透析患者抑郁与社会家庭支持关系的调查

Investigation on Correlation between Depression and Family & Social Supports in Patients with Peritoneal Dialysis

目的探讨腹膜透析患者抑郁与社会家庭支持的关系,旨在提高患者的生活质量。方法采用便利抽样法选取某医院腹膜透析中心接受腹膜透析治疗的107例慢性肾功能不全患者,应用汉密顿抑郁量表(Hamilton depression scale,HAMD)和社会支持评定量表(social support revalued scale,SSRS)进行测评调查。结果腹膜透析患者轻微或轻度抑郁状态者占14.2%,中度抑郁者占26.3%,重度抑郁者占12.7%。不同抑郁程度的患者其社会支持得分的差异有统计学意义(F=10.50,P<0.05)。患者的抑郁与SSRS总分、主观支持、客观支持、支持利用度的相关系数(r)分别为-0.102、-0.429、-0.409和-0.318,相关性均具有统计学意义(均P<0.05)。结论抑郁状态在腹膜透析患者中较常见,需加强腹膜透析患者及其家属对抑郁的认知和健康宣教,以提高患者的生活质量和整体健康状况。

Objective To study the correlation between depression and family ＆ social supports in peritoneal dialysis （PD） patients so as to improve the patients＇ life quality. Methods A total of 107 PD patients with chronic renal failure were selected with convenience sampling method in a PD center and then were investigated using Hamilton depression scale（HAMD） and social support revalued scale（SSRS）. Results Of all the involved PD patients, 14.2% of them were observed with slight to mild depression, 26.3% with moderate depression, and 12. 7% with severe depression. Significant differences were observed in social supports scores of patients with different levels of depression （F = 10. 50, P 〈 0. 05）. The correlation coefficient（r） between depression and the total score of SSRS, subjective support,objective support and utilization of support was -0. 102, -0. 429, -0. 409, -0. 318 ,respectively. The correlation was of statistical significance （all P 〈 0. 05）. Conclusion Depressive symptom is very common in peritoneal dialysis patients. So the awareness and health education on depression should be enhanced for PD patients and their families.