维持性血液透析患者抑郁障碍相关因素分析

The analysis of depression and its related factors in maintenance hemodialysis patients

目的调查维持性血液透析(maintain hemodialysis,MHD)患者抑郁障碍发生情况并分析其相关因素。方法对122例MHD患者进行汉米尔顿抑郁障碍评定量表评分,分为抑郁障碍组和非抑郁障碍组,在组间进行性别、年龄、医疗付费、婚姻情况、文化程度和是否在职的比较。结果 66.4%的患者存在不同程度的抑郁障碍;两组间年龄、性别、医疗付费、婚姻情况差异无统计学意义(P>0.05),是否在职和文化程度差异有统计学意义(P<0.05)。结论血液透析患者发生抑郁障碍较高,与文化程度和是否在职有关。

Objective We investigated the incidence of depression and its related factors in maintenance hemodialysis （MHD） patients. Methods A total of 122 MIlD patients were divided into depression group or normal group based on Hamilton scale （HAMD）. The authors analyzed depression related factors by comparing gender, age, payment type of medical expenses, marriage, education and employment between the two groups. Results Depression occurred in 66.4% MHD patients. There were no differences in gender, age, payment type of medical expenses, and marriage （P〉 0.05）, but were significant differences in education level and employment status （P〈0.05） between the two groups. Conclusion Depression is a common symptom in MHD patients. Depression is related to the education level and employment status of the MHD patients.