BACKGROUND According to the trend of global population aging,the proportion of elderly patients with chronic kidney disease(CKD)is expected to increase.However,there are more than 20 million people in China with decom...BACKGROUND According to the trend of global population aging,the proportion of elderly patients with chronic kidney disease(CKD)is expected to increase.However,there are more than 20 million people in China with decompensated kidney function,of which 19.25%are elderly people.Therefore,special attention should be paid to the education years,sleep quality,anxiety status,comorbidities with diabetes,cardiovascular disease(CVD),and anemia as independent risk factors for depression in elderly CKD patients.This study explores the clinical management of elderly CKD patients that should address these risk factors to prevent depression and improve their prognosis.AIM To investigate depression risk factors in older patients receiving peritoneal dialysis,aiding future prevention of depression in these patients.METHODS This retrospective study included a primary study population of 170 patients with CKD who received peritoneal dialysis from January 2020 to December 2022.We assessed the patients’mental status using the Beck Depression Inventory Score-II(BDI-II),Self-Rating Anxiety Scale(SAS),Anxiety Inventory Score,and the Pittsburgh Sleep Quality Index(PSQI).Logistic regression was employed to identify depression independent risk factors among these patients.RESULTS The non-depressed group had a significantly longer education period than the depressed group(P<0.05).The depressed group exhibited significantly higher mental status scores than the non-depressed group(P<0.001).Patients with diabetes mellitus(DM)or CVD had a higher probability of developing depression.Patients with depression had significantly lower hemoglobin and albumin levels than patients without depression(P<0.05).Spearman correlation analysis of BDI-II scale scores,measuring depression,indicated positive correlations with BDI-II and SAS scores as risk factors for depression in patients with CKD.In contrast,years of education,hemoglobin levels,and peritoneal Kt/V were negatively correlated,serving as protective factors against depression.An analysis of variance for influences with significant differences in the univariate analysis revealed that years of schooling,BDI-II,SAS,PSQI,DM,CVD,and hemoglobin levels independently influenced depression in older patients with CKD.CONCLUSION Education,BDI-II,SAS,PSQI,DM,and CVD are independent risk factors for depression in older patients with CKD;therefore,post-treatment psychological monitoring of high-risk patients is crucial to prevent depression.展开更多
Background: It is well known that depression is effective upon the occurrence of hypertension. The aim was to determine the prevalence of depression in the population aged 30 years old and over, and its impact on hype...Background: It is well known that depression is effective upon the occurrence of hypertension. The aim was to determine the prevalence of depression in the population aged 30 years old and over, and its impact on hypertension. Methods: This study is a cross-sectional study conducted on people aged 30 years and over between Sep., 1st and Oct., 30th 2009 in a region of western Turkey, Eskisehir. The questionnaire included the information about the subjects’ sociodemographic characteristics and the Beck Depression Inventory (BDI) used to determine those who were at the risk of depression. The data were analyzed using Student’s t test, Chi-square test and Logistic regression analysis. A value of p < 0.05 was considered statistically significant. Results: According to the Logistic analysis, older age (OR = 16.050), adding extra salt to meals (OR = 2.079), obesity (OR = 2.170) and family history of hypertension (OR = 2.139) were the important risk factors for hypertension (p < 0.05 for each one). It was determined that there was a positive connection between the scores received from the BDI and systolic and diastolic BP values [(rs = 0.151;p < 0.001) and (rs = 0.146;p < 0.001)], respectively. Conclusion: According to the above results, we may conclude that depression is effective upon the occurrence of hypertension.展开更多
文摘BACKGROUND According to the trend of global population aging,the proportion of elderly patients with chronic kidney disease(CKD)is expected to increase.However,there are more than 20 million people in China with decompensated kidney function,of which 19.25%are elderly people.Therefore,special attention should be paid to the education years,sleep quality,anxiety status,comorbidities with diabetes,cardiovascular disease(CVD),and anemia as independent risk factors for depression in elderly CKD patients.This study explores the clinical management of elderly CKD patients that should address these risk factors to prevent depression and improve their prognosis.AIM To investigate depression risk factors in older patients receiving peritoneal dialysis,aiding future prevention of depression in these patients.METHODS This retrospective study included a primary study population of 170 patients with CKD who received peritoneal dialysis from January 2020 to December 2022.We assessed the patients’mental status using the Beck Depression Inventory Score-II(BDI-II),Self-Rating Anxiety Scale(SAS),Anxiety Inventory Score,and the Pittsburgh Sleep Quality Index(PSQI).Logistic regression was employed to identify depression independent risk factors among these patients.RESULTS The non-depressed group had a significantly longer education period than the depressed group(P<0.05).The depressed group exhibited significantly higher mental status scores than the non-depressed group(P<0.001).Patients with diabetes mellitus(DM)or CVD had a higher probability of developing depression.Patients with depression had significantly lower hemoglobin and albumin levels than patients without depression(P<0.05).Spearman correlation analysis of BDI-II scale scores,measuring depression,indicated positive correlations with BDI-II and SAS scores as risk factors for depression in patients with CKD.In contrast,years of education,hemoglobin levels,and peritoneal Kt/V were negatively correlated,serving as protective factors against depression.An analysis of variance for influences with significant differences in the univariate analysis revealed that years of schooling,BDI-II,SAS,PSQI,DM,CVD,and hemoglobin levels independently influenced depression in older patients with CKD.CONCLUSION Education,BDI-II,SAS,PSQI,DM,and CVD are independent risk factors for depression in older patients with CKD;therefore,post-treatment psychological monitoring of high-risk patients is crucial to prevent depression.
文摘Background: It is well known that depression is effective upon the occurrence of hypertension. The aim was to determine the prevalence of depression in the population aged 30 years old and over, and its impact on hypertension. Methods: This study is a cross-sectional study conducted on people aged 30 years and over between Sep., 1st and Oct., 30th 2009 in a region of western Turkey, Eskisehir. The questionnaire included the information about the subjects’ sociodemographic characteristics and the Beck Depression Inventory (BDI) used to determine those who were at the risk of depression. The data were analyzed using Student’s t test, Chi-square test and Logistic regression analysis. A value of p < 0.05 was considered statistically significant. Results: According to the Logistic analysis, older age (OR = 16.050), adding extra salt to meals (OR = 2.079), obesity (OR = 2.170) and family history of hypertension (OR = 2.139) were the important risk factors for hypertension (p < 0.05 for each one). It was determined that there was a positive connection between the scores received from the BDI and systolic and diastolic BP values [(rs = 0.151;p < 0.001) and (rs = 0.146;p < 0.001)], respectively. Conclusion: According to the above results, we may conclude that depression is effective upon the occurrence of hypertension.
