维持性血液透析患者抑郁症状相关因素分析  

Relative factors analysis on depressive symptoms of patients with maintaining hemodialysis

作　　者：肖雪 李瑛 

机构地区：[1]北京市第一中西医结合医院精神心理科,北京100026

出　　处：《中国现代医生》2016年第14期75-77,共3页China Modern Doctor

摘　　要：目的探讨维持性血液透析患者的抑郁症状相关因素，明确各种因素之间的密切联系，了解维持性血液透析抑郁症状患者的现状。方法采用Zung抑郁自评量表（SDS）对2015年1月～2016年1月60例行维持性血液透析患者进行评估，根据评估结果将60例患者划分为抑郁组和非抑郁组，对比分析两组患者的年龄、性别、婚姻状况、受教育程度、就业情况等社会信息。结果经SDS测定结果表明，维持性血液透析患者抑郁症状发生率达65％；两组患者的年龄、性别、婚姻状况相比较差异无统计学意义（P〉0．05）；受教育程度、就业情况及自费率比较差异具有统计学意义（P〈0．05）。结论行维持性血液透析患者抑郁症状发生率较高，且发病原因与受教育程度、就业情况和治疗费用承担情况相关联。Objective To discuss the relative factors of depressive symptoms in patients with maintaining hemodialysis （MHD）, to reveal the relations between these factors, and to comprehend the status of depressive MHD patients. Meth- ods 60 MHD patients from January 2015 to January 2016 were evaluated by Zung self-rating depression scale （SDS）, and were divided based on the results of evaluation into the depressive symptom group and non-depressive symptom group. The ages, genders, marriage status, education levels, and employment status were compared between two groups. Results According to the results of SDS, the incidence rate of depression in MHD patients was as high as 65%. There were no significant differences in ages, genders, and marriage status between two groups（P〉0.05）. There were significant differences in education levels, employment status, and percentage of self pay （P〈0.05）. Conclusion The incidence of depression is high in MHD patients, and the causes are related to education levels, employment status, and burden of treatment cost.

关 键 词：维持性血液透析 抑郁症状 因素 ZUNG抑郁自评量表 

分 类 号：R459.5[医药卫生—治疗学]