维持性血液透析患者生存质量与负性情绪的相关性分析

目的 探讨维持性血液透析(MHD)患者生存质量与负性情绪的影响因素.方法 选择2017年9月至2018年9月MHD患者188例.使用抑郁自评量表(SDS)及焦虑自评量表(SAS)评估患者情绪状况,同时对反映MHD患者生存质量的CRP、Hb、SF、Alb及透析充分性(KT/V)等指标进行评价,分析生存质量对MHD患者负性情绪的影响因素.结果 188例MHD患者中,抑郁状态(SDS≥50)发生率为38.8%;焦虑状态(SAS≥50)发生率为37.8%;年龄>60岁、透析龄>1年或伴有糖尿病的MHD 患者SDS及SAS评分均明显高于年龄≤60岁、透析龄≤1年或不伴有糖尿病的MHD患者,差异有统计学意义(P<0.05);MHD 患者中 Hb、SF、Alb与SDS及SAS呈负相关(r=-0.38、-0.31、-0.26,P<0.05);而s-CRP与SDS及SAS呈正相关(r=0.28,P<0.05).结论 MHD患者负性情绪发生率较高,生存质量影响患者的负性情绪.

Objective To explore the influencing factors of quality of life and negative emotions in maintenance hemodialysis(MHD)patients.Methods 188 cases of maintenance hemodialysis in Zhejiang medical&health group Hangzhou Hospital and Haining People's Hospital from September 2017 to September 2018 were selected.Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to assess patients'emotional status,Meanwhile,CRP,Hb,SF,Alb and dialysis adequacy(KT/V)indicators which reflecting the quality of life of hemodialysis patients were evaluated,and the influence factors of quality of life on negative emotions of maintenance dialysis patients were analyzed.Results Among 188 MHD patients,the incidence of depression(SDS≥50)was 38.8%,and anxiety(SAS≥50)was 37.8%.The SDS and SAS scores of MHD patients with age>60 years,dialysis age>1year or diabetes mellitus were significantly higher than those of MHD patients with age≤60 years,dialysis age≤1 year or without diabetes mellitus,statistical difference was statistically significant(P<0.05);Hb,SF and Alb were negatively correlated with SDS and SAS(r was-0.38,-0.31,-0.26,P<0.05);and S-CRP was positively correlated with SDS and SAS(r=0.28,P<0.05).Conclusion The incidence of negative emotions is higher in MHD patients,and the quality of life affects the negative emotions of MHD patients.