老年慢性肾功能不全患者焦虑抑郁症状相关因素分析  

Analysis of anxiety and depression in elderly patients with chronic kidney disease

作　　者：施海燕[1] 凌晓晨[1] 

机构地区：[1]解放军总医院南楼心血管二科,北京100853

出　　处：《中华保健医学杂志》2009年第1期39-40,共2页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨住院老年慢性肾功能不全患者焦虑、抑郁症状的发生率及相关因素。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)为评定工具,对153例慢性肾脏疾病(chronic kidney disease,CKD)(3～5期)患者进行评定。结果住院CKD(3～5期)患者焦虑抑郁症状的发生率为72.55%,其中公费医疗和自费医疗患者焦虑抑郁发生率分别为50.00%及74.51%;与子女同住患者发生率为42.59%,独自居住为68.69%;公职人员发生率为23.47%,企业职工为48.39%,农民为83.33%。组间比较,差异均有统计学意义(均P<0.05)。不同性别患者焦虑、抑郁程度差异无统计学意义。结论慢性肾功能不全患者焦虑抑郁发生率高,故应对其进行心理干预,改善焦虑抑郁症状。Objective To investigate the anxiety and depression and it＇s incidence and correlative factor in elderly patients with chronic kidney disease. Methods Self-rating anxiety scale（SAS）and self-rating depression scale（SDS）were adopted as assessment tool to evaluate 153 elderly patients with CKD（Phase 3-5）. Results The incidence of anxiety and depression was 72.55% in elderly inpatients with CKD（Phase 3-5）. Free medical care and medical at their own expense,anxiety and depression rates were 50% and 74.51% ;live with their children in incidence of 42.59% ,to 68.69% live alone;public official rate was 23.47%, 48.39% for enterprise workers,farmers to 83.35% ,were significant differences（P〈0.05）. Sex with anxiety,depression levels no significant difference. Conclusions The incidence of anxiety and depression is high in elderly inpatients with CKD. Psychological intervention should be taken to relieve their symptoms.

关 键 词：慢性肾脏疾病 焦虑 抑郁 心理干预 

分 类 号：R692[医药卫生—泌尿科学]