女性肾透析患者焦虑和抑郁情绪状况及影响因素分析  

Analysis of the affecting factors related to anxiety and depression in female dialysis patients

作　　者：任雪 陈理境[1] 程志群[1] 范德墉[1] REN Xue;CHEN Li-Jing;CHENG Zhi-Qun(Department of Nephrology,Huzhou Central Hospital,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市中心医院肾内科,浙江湖州313000

出　　处：《中国妇幼保健》2022年第19期3601-3604,共4页Maternal and Child Health Care of China

基　　金：浙江省湖州市科学技术局计划项目(2020GY21)。

摘　　要：目的分析女性肾透析患者焦虑和抑郁情绪的影响因素。方法选择2019年1月—2021年9月湖州市中心医院透析中心随访的女性肾透析患者81例,采用zung焦虑自测量表(SAS)评定患者焦虑状况,使用zung抑郁量表(SDS)评定患者抑郁状况,分析焦虑、抑郁评分与患者病程、睡眠时长、透析方式及社会家庭支持各维度的相关性。通过二元logistic回归分析判断肾透析患者焦虑、抑郁情况与患者病程、睡眠时长、透析方式及社会家庭支持各因素之间是否存在关联。结果女性肾透析患者SAS评分为(44.42±8.99)分,SDS评分为(48.40±12.20)分;女性肾透析患者中焦虑发生率为19.75%,抑郁发生率为40.00%;以病程、睡眠时长、透析方式、独居及离异或丧偶为自变量,将焦虑和抑郁评分作为因变量,对本透析中心随访的81例女性肾透析患者进行二元logistic回归分析,其中女性患者睡眠与焦虑抑郁呈负相关(P<0.05);年龄、病程与焦虑和抑郁呈正相关(均P<0.05);同时,独居、离异或丧偶的女性患者更容易产生焦虑和抑郁情绪;透析方式的选择可能对女性肾透析患者焦虑和抑郁情绪产生影响。结论女性肾透析患者焦虑和抑郁发病率较高,且与年龄、病程、社会家庭支持及睡眠呈现一定的相关性。Objective Analysis the affecting factors related to anxiety and depression of female dialysis patients.Methods To analysis the prevalence of depression and anxiety with factors including the course of disease,sleeping-time,method of dialysis,the social support and family caring,81 follow-up of female dialysis patients in Huzhou Central Hospital from January 2019 to September 2021 were chosen by using self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The regression of binary logistic was used to estimate the relevance between the anxiety and depression in female patients with the factors including the course of disease,sleeping time and method of dialysis,the social support and caring of family.Use the regression of binary logistic to estimate the relevance between the anxiety and depression in female dialysis patients.Results The scores of SAS and SDS in female dialysis patients were 44.42±8.99 and 48.40±12.20 respectively.The incidence was 19.75%for anxiety and 40.00%for depression.Basing on the regression of binary logistic,the anxiety and depression of female patients had negative relationship with sleeping-time and positive relationship with age and course of disease.Meanwhile,the dialysis patients who lived alone/divorced/widowed were more liable to suffer the anxiety and depression emotion.The method of dialysis had influence on the anxiety and depression emotion of the female patients.Conclusion There was a higher prevalence of anxiety and depression symptoms in female dialysis patients,and it was related to age,method of dialysis,the social support and caring of family,the sleeping-time.

关 键 词：血液透析 腹膜透析 女性 焦虑 抑郁 睡眠 社会家庭支持 

分 类 号：R692.5[医药卫生—泌尿科学]