慢性肾功能不全患者情感障碍现状的研究分析

Study of Affective Disorder in Patients with Chronic Renal Insufficiency

目的了解慢性肾功能不全患者情感障碍与肾功能正常人群的现状差别。方法 120例慢性肾脏病患者分为肾功能正常组及慢性肾功能不全组,进行SAS、SDA及SCL-90量表测评。结果①慢性肾功能不全组焦虑和抑郁评分均高于肾功能正常组(P<0.01),抑郁及焦虑发生率均高于肾功能正常组(P<0.01);②慢性肾功能不全组除强迫、精神病性、偏执外,在躯体化、人际关系、抑郁、焦虑、恐怖、敌对性上均与肾功能正常组存在差异(P<0.01)。结论慢性肾功能不全患者情感障碍及心理问题远较肾功能正常人群为高,要及时发现慢性肾功能不全患者的不良心理反应,做好心理疏导。

Objective To understand the difference of affective disorder in patients between chronic renal insufficiency and normal renal function.Methods It,s a cross-section survey.120 hospitalized patients were divided into normal renal function group and chronic renal insufficiency group.Self-Rating Anxiety Scale（SAS）,Self-Rating Depressing Scale（SDS）and SCL-90 measuring scale were administrated to these hospitalized patients.Results ①Anxiety and depressing score in chronic renal insufficiency group were significantly higher than those in normal renal function groupP0.01）.Athymia and anxiety incidence in chronic renal insufficiency group were significantly higher than those in normal renal function group（P0.01）.②Except constraint,bedlam and paranea,the difference of somatization,interpersonal relationship,anxiety,phobophobia and rivalry between normal renal function group and chronic renal insufficiency group were significant（P0.01）.Conclusion Patients with chronic renal insufficiency have a higher incidence of affective disorder including anxiety and depressing than patients with normal renal function.Besides treating body disease,we should promptly discover unhealthy psychic reaction in patients with chronic renal insufficiency and enforce psychotherapy.