维持性血液透析患者及其家属的情感障碍临床观察

Clinical investigation about incidence of affective disorder in patients on maintenance hemodialysis and family members

目的:探讨维持性血液透析患者及其家属中产生情感障碍的发生率情况,并探讨相关的影响因素。方法:以汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)作为抑郁、焦虑评价指标,对情感障碍产生的相关影响因子进行统计分析。结果:以HAMD及HAMA评分为观察指标,患者组与正常人群组之间比较、患者家属组与正常人群家属组相比较,差异均有统计学意义(P<0.01)。结论:维持性血液透析患者因自身需要长期接受治疗且病情反复而造成的心理问题应引起关注,与正常人群相比不仅接受维持性血液透析的患者本身存在严重心理问题,而且其家属中抑郁、焦虑障碍的发生率也明显增高,均应及时采取针对性疏导。

Objective：To explore the incidence of affective disorder in patients on maintenance hemodialysis and their family members,as well as associated influence factors. Method： Hamilton Depression Scale （HAMD） and Hamilton anxiety scale （HAMA） being utilized to assess depression and anxiety,we statistically analyzed relavant influence factors which are corresponding to affective disorder. Result： HAMD and HAMA scores being taken as evaluation indicators, the difference between patient group and control group and the difference between normal relative group and control group are both statistically significant （Both P〈0.01）. Conclusion：Psychological problems of patients on maintenance hemodialysis due to the need of long-term treatment and relapse of illness should be well concerned. Beside of serious psychological problems in patients on hemodialysis, the incidence of depression and anxiety disorders among their family members also increased significantly compared to normal population, and targeted guidance should be conducted timely.