某社区老年慢性肾脏病患者焦虑、抑郁发生情况及相关因素分析

Analysis of occurrence and related factors of anxiety and depression in elderly patients with chronic kidney disease in a community

目的统计分析某社区老年慢性肾脏病(CKD)患者焦虑、抑郁发生情况及相关因素。方法采用随机抽样法选取上海市嘉定区某社区120名60岁以上的CKD患者作为研究对象,向其发放一般资料调查表、SAS及SDS量表,并分析焦虑、抑郁发生的相关因素。结果接受调查的老年CKD患者中,34.2%出现焦虑情绪,31.7%出现抑郁情绪。老年CKD患者的SAS、SDS评分与性别、年龄、学历、婚姻状况、收入状况、医疗费用来源、病程有关(P<0.05)。结论老年CKD患者易伴发焦虑、抑郁,医务人员应注意其心理变化,及时给予积极的心理疏导或药物治疗,以改善老年CKD患者的生活质量。

Objective To statisticaly analyze the occurrence and related factors of anxiety and depression in elderly patients with chronic kidney disease(CKD) in a community. Methods A total of 120 CKD patients over 60 years old in a community in Jiading district of Shanghai were selected by random sampling method as the research objects. General information questionnaire, SAS and SDS were distributed, and the related factors of anxiety and depression were analyzed.Results Among the elderly CKD patients surveyed, 34.2% had anxiety and 31.7% had depression. The SAS and SDS scores of elderly CKD patients were related to gender, age, educational background, marital status, income status, source of medical expenses and course of disease(P<0.05). Conclusion Elderly patients with CKD are prone to anxiety and depression, then the medical staff should pay attention to patients’ psychological changes and give positive psychological counseling or drug treatment in time, so as to improve the quality of life of elderly patients with CKD.