维持性血液透析患者抑郁影响因素研究

Influencing Factors for Depression in Maintenance Hemodialysis Patients

目的:探讨维持性血液透析(MHD)患者抑郁影响因素。方法:收集200例在我院血液净化区行MHD的患者相关问卷调查资料,包括性别、年龄、教育文化水平、经济收入等。采用贝氏抑郁量表(BDI)评价患者的抑郁程度,分析非抑郁组和抑郁组患者调查资料的差异,通过Logistic回归分析MHD患者抑郁发病的影响因素。结果:200例MHD患者中抑郁发生率为33%。受教育程度、经济收入、工作状态与MHD患者抑郁密切相关(均P<0.05)。Logistic回归分析显示,无业、受教育程度低是MHD患者抑郁障碍的独立危险因素(均P<0.05)。结论:受教育程度低、无业是MHD患者抑郁发生的独立影响因素。

Objective:To explore the influencing factors of depression in patients undergoing maintenance hemodialysis(MHD).Methods:A total of 200 patients undergoing MHD in our hospital were enrolled.The clinical data including gender,age,education level,economic income were collected.The depression degree was evaluated by Beck depression inventory(BDI).The differences of survey data between the non-depressed group and the depressed group were analyzed.The influencing factors for depression in MHD patients were evaluated using Logistic regression method.Results:The incidence of depression in 200 patients was 33%.Education level,economic income and working status were closely related to depression in MHD patients(all P<0.05).Logistic regression analysis suggested that unemployment and less educated were independent risk factors for depression in MHD patients(both P<0.05).Conclusion:Less educated and unemployment may be independent influencing factors of depression in MHD patients.