慢性肾衰竭患者的焦虑、抑郁状态及其相关因素95例分析  

Analysis on anxiety and depression in 95 patients with chronic renal failure and related factors

作　　者：张克凯[1] 彭家清[1] 吕永曼[2] 

机构地区：[1]湖北省荆州市中心医院肾内科,434020 [2]华中科技大学同济医学院附属同济医院肾内科

出　　处：《临床肾脏病杂志》2010年第6期260-262,共3页Journal Of Clinical Nephrology

摘　　要：目的探讨慢性肾衰竭患者的焦虑、抑郁状态的发生情况及其相关影响因素。方法选择慢性肾衰竭患者95例，分为非透析组（34例），血液透析12个月以下组（血液透析1组，33例），血液透析12个月以上组（血液透析2组，28例），使用焦虑量表（SAS）和抑郁量表（SDS）评估患者的情绪状态。结果性别对于焦虑和抑郁的发生没有影响，相关分析显示抑郁评分和年龄呈正相关。三组的焦虑发生与透析时间之间没有明显相关，血液透析2组与血液透析1组抑郁发生的差异具有统计学意义，同时发现医保患者的抑郁发生率高于自费患者。结论慢性肾衰竭患者的抑郁发生率与医疗费用结构和透析患者的年龄、透析时间有一定程度的相关性。Objective To explore the anxiety and depression state and the influencing factors in patients with chronic renal failure. Methods Self-rating anxiety scale（SAS） and self-rating depression scale（SDS）were used to evaluate the mood situations in 95 chronic renal failure patients who were divided into 3 groups in terms of hemodialysis duration including no-dialysis group（control group, n = 34）, hemodialysis〈 12 months group （ hemodialysis group 1, n = 33）, and hemodialysis） 12 months group（hemodialysis group 2,n = 28）. Results Gender had little influence on the anxiety or depression state. Correlation analysis revealed that depression score had a significantly positive correlation with age. There was no significant correlation between the anxiety state and hemodialysis durations among the three groups. There was significant difference in the depression occurrence between two hemodialysis groups. Simultaneously, it was found that the incidence of depression the patients receiving medical insurance was higher than that in self-paid patients. Conclusions The incidence of depression in the patients with chronic renal failure was correlated with the age of patients, the way of medical expense and the hemodialysis durations to some degrees.

关 键 词：肾透析 焦虑 抑郁 费用 医疗 

分 类 号：R692.502[医药卫生—泌尿科学]