血液透析病人抑郁和焦虑状态影响因素及生活质量分析  

Analysis of the influencing factors of depression and anxiety,and quality of life in hemodialysis patients

作　　者：张帆[1] 杨雪球 赵宸 王艳[1] 方媛 任伟 ZHANG Fan;YANG Xue-qiu;ZHAO Chen;WANG Yan;FANG Yuan;REN Wei(Department of Urology,The First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,Hefei Anhui 230001,China)

机构地区：[1]中国科学技术大学附属第一医院肾内科,安徽合肥230001

出　　处：《蚌埠医学院学报》2022年第9期1171-1175,共5页Journal of Bengbu Medical College

基　　金：安徽省自然科学基金青年基金(1808085QH246)。

摘　　要：目的:了解维持性血液透析(MHD)抑郁、焦虑发病率及影响因素,探索焦虑、抑郁的MHD病人社会支持及生活质量情况。方法:采用抑郁自评量表、焦虑自评量表、社会支持评定量表、健康调查量表,对MHD病人的抑郁、焦虑、社会支持及生活质量进行横断面研究。结果:202例MHD病人抑郁患病率为41.1%,焦虑患病率35.6%;logistic回归分析结果显示,<45岁、未婚/离异、饮酒是MHD病人抑郁的主要影响因素,饮酒及子女个数少是MHD病人焦虑的主要影响因素(P<0.05)。MHD抑郁及焦虑病人主观支持、支持利用度及生活质量评分均低于无抑郁及焦虑病人(P<0.05~P<0.01)。结论:MHD病人抑郁、焦虑患病率高,受多种社会环境因素影响,社会支持利用度偏低,生活质量受到不良影响。Objective:To investigate the incidence and influencing factors of depression and anxiety in maintenance hemodialysis(MHD)patients,and explore the social support and quality of life of MHD patients with anxiety and depression.Methods:A cross-sectional study was conducted on the depression,anxiety,social support and quality of life of MHD patients using the self-rating depression scale,self-rating anxiety scale,social support rating scale and health survey scale.Results:The prevalence rates of depression and anxiety in 202 MHD patients were 41.1%and 35.6%,respectively.The results of logistic regression analysis showed that the<45 years old,unmarried/divorced and drinking were the main influencing factors of depression,and the drinking and small number children were the main influencing factors of anxiety in MHD patients(P<0.05).The scores of subjective support,support utilization and quality of life of MHD patients with depression and anxiety were lower than those of patients without depression and anxiety(P<0.05 to P<0.01).Conclusions:MHD patients have a high prevalence of depression and anxiety,which are affected by a variety of social environmental factors.MHD patients with depression and anxiety have low utilization of social support,and their quality of life is affected.

关 键 词：血液透析 焦虑 抑郁 社会支持 生活质量 

分 类 号：R459.5[医药卫生—治疗学]