维持性血透尿毒症患者自杀意念现状及相关影响因素研究

Study on the status quo and related influencing factors of suicidal ideation in patients with maintenance hemodialysis uremia

目的分析维持性血液透析(血透)尿毒症患者自杀意念现状及相关影响因素。方法选取2020年9月至2022年10月该院收治的维持性血透尿毒症患者119例,采用自杀意念自评量表评价患者有无自杀意念,调查患者相关资料,纳入可能的影响因素。采用logistics回归模型分析患者自杀意念的相关影响因素。结果119例患者中有自杀意念者24例(占20.17%)。受教育程度初中及以下、透析时间大于或等于5年、心理弹性差、心理状况差、社会支持低是维持性血透尿毒症患者自杀意念的影响因素,差异均有统计学意义(优势比大于1,P<0.05)。结论维持性血透尿毒症患者自杀意念较高,受教育程度、透析时间、心理弹性、心理状况差、社会支持是患者自杀意念的影响因素。

Objective To analyze the status quo and related influencing factors of suicidal ideation in maintenance hemodialysis(MHD)patients with uremia.Methods A total of 119 patients with maintenance hemodialysis uremia admitted to the hospital from September 2020 to October 2022 were selected.The Self-rating Idea of Suicide Scale was used to evaluate whether the patients had suicidal ideation.The relevant data of the patients were investigated and the possible influencing factors were included.Logistics regression model was used to analyze the related influencing factors of suicidal ideation.Results Among the 119 patients,24(20.17%)had suicidal ideation.Education level of junior high school and below,dialysis time greater than or equal to five years,poor psychological resilience,poor psychological status,and low social support were the influencing factors of suicidal ideation in patients with maintenance hemodialysis uremia,and the difference was statistically significant(OR>1,P<0.05).Conclusion The suicidal ideation of uremic patients with maintenance hemodialysis is higher.Education level,dialysis time,psychological resilience,poor psychological status and social support are the influencing factors of suicidal ideation.