IgA肾病患者消极积极情绪状态及其影响因素分析

Negative and positive mood state of patients with IgA nephropathy and its influence factors

目的分析IgA肾病患者消极积极情绪状态,并探究其影响因素。方法选取2015年7月至2016年3月于我院肾内科血透室进行诊治的110例IgA肾病患者为观察组,将110例同期体检的健康者作为对照组,采用PANAS量表对两组受检者进行评估和比较,同时比较观察组患者不同年龄、性别、病程、文化程度、社会支持程度、治疗效能感、Lee分级及并发其他疾病情况者的PANAS量表评估结果,并采用Logistic回归分析上述因素与IgA肾病患者情绪状态的关系。结果观察组患者的PANAS量表评估结果中消极情绪和积极情绪评分分别为(36.75±3.82)分及(16.43±2.52)分,均差于对照组的(12.57±2.60)分及(32.53±3.75)分,且观察组中不同年龄、性别、病程、文化程度、社会支持程度、治疗效能感、Lee分级及并发其他疾病者的PANAS量表评分比较差异也均有统计学意义(P<0.05),经Logistic回归分析显示,上述因素均与IgA肾病患者情绪状态有密切关系(P<0.05)。结论 IgA肾病患者消极积极情绪状态相对较差,且年龄、性别、病程、文化程度、社会支持程度、治疗效能感、Lee分级及并发其他疾病情况均是其重要的影响因素。

Objective To study and analyze the negative and positive mood state of patients with IgA nephropathy, and to investigate its influence factors. Methods A total of 110 patients with IgA nephropathy, who admitted to Hemodialysis Room of Department of Renal Medicine from July 2015 to March 2016, were selected as the observation group. At the same time, 110 healthy persons for physical examination were selected as the control group. The two groups were evaluated and compared with PANAS scale. At the same time, the PANAS scale evaluation results of patients with different ages, gender, disease course, education degree, social support degree, therapeutic efficacy, Lee classifications and other diseases in the observation group were compared, and the relationship between those factors and mood state of patients were analyzed by Logistic regression analysis. Results The PANAS scale scores of negative emotion and positive emotion in the observation group were respectively（36.75±3.82） points and（16.43±2.52） points,which were both worse than（12.57±2.60） points and（32.53±3.75） points of the control group, and there were significant differences in the PANAS scale scores of patients with different ages, gender, disease course, education degree, social support degree, therapeutic efficacy, Lee classifications and other diseases in the observation group（P0.05）. Logistic regression analysis showed that the above factors were closely related to the emotional state of patients with IgA nephropathy（P0.05）. Conclusion The negative and positive mood state of patients with IgA nephropathy are relatively worse,and ages, gender, course, education degree, social support degree, therapeutic efficacy, Lee classifications and other diseases are all the influence factors.