血液透析后抑郁患者领悟社会支持状况及其影响因素研究  

Perception of patients with post-hemodialysis depression to social support

作　　者：李惠梅[1] 刘晓红[1] 赵学珍[1] 黄英[1] 

机构地区：[1]广东医学院附属深圳市第四人民医院,广东深圳518033

出　　处：《现代临床护理》2008年第8期15-17,共3页Modern Clinical Nursing

摘　　要：目的了解血液透析后抑郁(PHD)患者领悟社会支持状况及其影响因素。方法应用领悟社会支持评定量表(PSSS)对64例PHD患者进行问卷调查,并分析其影响因素。结果PHD患者领悟社会支持得分为(60.08±12.73)分,其中领悟家庭内支持为(22.78±4.31)分,领悟家庭外支持为(38.03±9.89)分;<60岁患者领悟社会支持及家庭外支持明显高于≥60岁组(分别为t=2.401,t=2.322,均P<0.05);病程<1年组患者领悟家庭外支持明显高于病程≥1年组患者(t=2.993,P<0.05);已婚患者领悟家庭内支持明显高于单身患者(t=2.215,P<0.05);医保患者领悟社会支持、领悟家庭外支持明显高于自费患者(分别为t=2.511,t=2.721,均P<0.05)。结论PHD患者领悟社会支持呈中等水平,其中领悟家庭内支持高于家庭外支持;年龄、病程、婚姻、医疗费用支付形式与领悟社会支持有密切关系。Objective To explore the perception of patients with post-hemodialysis depression （PHD） to social support. Methods 64 PHD patients were investigated by perceived social support scale （PSSS） and the data were analyzed. Results PSSS scores were （60.08 ± 12.73）： the scores for perceiving family support and for non-family support were （22.78 ± 4.31） and （38.03 ± 9.89）, respectively. The PSSS scores of the patients aged less than 60 years were higher than those aged more than that age （t = 2.401, P 〈 0.05）. The PSSS score of those with less than one year course was higher that those with more than one year course （t = 2.993, P 〈 0.05）. The score of those married was higher than those unmarried （t = 2.215, P 〈 0.05）.Both the PSSS score and the score of perceiving farmily support in medical insurance patients were significantly higher than those in patients at their own expenses （both P 〈 0.05）. Conclusions PHD patients can perceive social support at a medium level： they can better perceive family support than the non-family support. Age, course and marriage are closely related with perception of social support.

关 键 词：血液透析后抑郁 领悟社会支持 血液透析 

分 类 号：R473.5[医药卫生—护理学]