慢性肾衰竭腹透青壮年与老年患者的焦虑和抑郁状态与社会心理因素和生活质量对比分析  

Comparison of anxiety,depression status,social psychological factors and life quality between young and elderly patients with chronic renal failure and peritoneal dialysis

作　　者：王瑾[1] 徐文军[1] 李泽民 夏金花[1] 于洋 WANG Jin;XU Wen-jun;LI Ze-min(Department of Nephrology,the People′s Hospital of Jiuquan City,Gansu 735000,China)

机构地区：[1]酒泉市人民医院肾内科,甘肃735000

出　　处：《中国临床新医学》2018年第1期43-46,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的对比分析慢性肾功能衰竭腹透青壮年与老年患者的焦虑、抑郁状态与社会心理因素和生活质量。方法选取2011-05~2016-09期间该院收治的行腹膜透析的慢性肾功能衰竭患者108例,按照年龄不同分为青壮年组56例和老年组52例。采用焦虑自评量表(SAS)及抑郁自评量表(SDS)评价焦虑和抑郁,自评社会支持量表(SS)评价社会心理因素,采用生活质量综合评定问卷-74(GQOLI-74)评价生活质量。结果青壮年组腹透后SAS评分和SDS评分低于老年组,差异具有统计学意义(P<0.01);青壮年组焦虑和抑郁发生率低于老年组,差异具有统计学意义(P<0.01);两组腹透后客观支持、主观支持、对支持利用度及SS总分比较差异无统计学意义(P>0.05);两组腹透后心理功能和物质生活状态评分比较差异无统计学意义(P>0.05);而青壮年组腹透后躯体功能、社会功能、总分高于老年组,差异具有统计学意义(P<0.01)。结论慢性肾功能衰竭腹透青壮年患者焦虑和抑郁发生率低于老年组,生活质量优于老年组,而社会心理支持无明显差异。Objective To compare the differences of anxiety,depression status,social psychological factors and life quality between young and elderly patients with chronic renal failure and peritoneal dialysis.Methods 108 patients with chronic renal failure who received peritoneal dialysis were selected in our hospital during May 2011 and September 2016 and were divided into the young group(n=56)and the elderly group(n=52)according to the different ages.The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were evaluated to assess the anxiety and depression.The assessments of Self-rating Social Support Scale(SS)and Quality of Life Questionnaire-74(GQOLI-74)were used to evaluate the social psychological factors and quality of life.Results The SAS and SDS scores of the young group were significantly lower than those of the elderly group(P<0.01).The incidence rates of anxiety and depression in the young group were significantly lower than those in the elderly group(P<0.01).There were no significant differences in the objective and subjective supports,the utilization of support and the total scores of SS between the two groups after peritoneal dialysis(P>0.05).There were no significant differences in the psychological function and living status scores between the two groups after peritoneal dialysis(P>0.05),while the scores of physical function and social function and total scores in the young group were significantly higher than those in the elderly group(P<0.01).Conclusion The incidence of anxiety and depression is lower while the quality of life is better in the young patients than in the elderly patients with chronic renal failure and peritoneal dialysis.

关 键 词：慢性肾功能衰竭 腹透 青壮年 老年 焦虑 抑郁 社会心理因素 生活质量 

分 类 号：R58[医药卫生—内分泌]