维持性血液透析患者抑郁与治疗依从性相关关系的调查  

The Relationship Among Depression and Treatment Compliance in Hemodialysis Patients

作　　者：殷金梅[1] 李康来[1] 吕凛生[1] 陈念嫦[1] 

机构地区：[1]中山大学附属第三医院血液净化室,广州510630

出　　处：《当代护士（下旬刊）》2012年第9期129-130,共2页Modern Nurse

摘　　要：目的探讨维持性血液透析患者抑郁与治疗依从性的相关关系。方法收集符合标准维持性血液透析患者79例,应用Beck抑郁自评量表(BDI)进行抑郁调查,根据抑郁的调查结果 ,分别对非中—重度抑郁组及中—重度抑郁组的治疗依从性进行评定,包括对透析剂量、水盐控制、合理用药、合理运动等的依从性情况进行分析。结果中—重度抑郁患者占62%,相比非中—重度患者具有更差的治疗依从性(P<0.05),差异具有统计学意义。结论维持性血液透析患者抑郁较为常见,且明显影响治疗依从性,降低了血液透析治疗效果,降低了患者的生活质量。Objective To investigate the relationship among depression and treatment compliance in hemodialysis patients. Methods 79 hemodialysis patients were recruited and investigated with Beck Depression Rating Scale （BDI） for depression survey. According to the score of depression, patinets were divided into two groups （non-severe depression group and severe depression group）. Assessment of treatment compliance including dialysis dose, water and salt control, rational drug use, reasonable exercise of compliance were ana- lyzed. Results 62% patients were in the severe group. Compared to the non-severe group, the severe group were with poorer treatment compliance（P〈0.05）, and the differente between two groups was significant. Conclusion Depression were common in hemodialysis pa- tients and it had significant effect on treatment compliance, reducing the treatment effect, reducing the patient＇s quality of life.

关 键 词：维持性血液透析 抑郁 治疗依从性 

分 类 号：R473.5[医药卫生—护理学]