维持性血液透析女性患者焦虑、抑郁状态调查及其对生活质量的影响研究  

Investigation of anxiety and depression in female patients with maintenance hemodialysis and its influence on quality of life

作　　者：刘鲲[1] 洪法通 汪宏[1] LIU Kun;HONG Fa-tong;WANG Hong(Department of Nephrology,Huangshan City People's Hospital,Huangshan 245000,Anhui,China)

机构地区：[1]黄山市人民医院肾内科,安徽黄山245000

出　　处：《川北医学院学报》2023年第2期265-268,共4页Journal of North Sichuan Medical College

基　　金：2022年度校教学医院科研专项立项自然科学项目(JXYY202263)。

摘　　要：目的:探讨女性维持性血液透析(MHD)患者焦虑、抑郁状态调查及其对生活质量的影响。方法:采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评定接受MHD治疗的58例女性终末期肾脏病患者的焦虑、抑郁状况,而患者的生活质量采用肾脏病患者专用量表(KDQOL-SFTM1.3调查量表)进行评定,包括同时分析焦虑、抑郁对该量表各维度的影响。结果:58例女性MHD患者中,焦虑症发生率为27.58%,抑郁症发生率为41.38%;焦虑组患者在KDQOL-SFTM1.3调查量表评分中,肾病对日常生活的影响(EKD)、给生活带来的负担(BKD)、症状与不适(SPL)、认知功能(CF)、医护人员的鼓励(DSE)及工作情况(WS)、社会支持(SoS)、睡眠(Sleep)、患者满意度(PS)、精神健康(MH)、生理功能(PF)及活力(VT)、总体健康(GH)、情感职能(RE)等维度评分均低于无焦虑组,差异有统计学意义(P<0.05);抑郁患者在社交质量(QSI)、职能(RP)等方面与无抑郁患者比较,差异无统计学意义(P>0.05);其余各维度的评分均低于无抑郁患者(P<0.05)。结论:焦虑、抑郁的发病率在女性维持性血液透析患者中较高,且从各个方面影响着患者的生活质量。Objective:To investigate the anxiety and depression state of female with maintenance hemodialysis(MHD) and its influence on the quality of life.Methods:58 cases of female with end-stage renal disease who were treated by MHD were selected as the study subjects, and SAS was used to assesse the anxiety, and the depression of the patients was assessed by SDS.The quality of life was assessed by KDQOL-SFTM1.3,including the influence of anxiety and depression on each dimension of the scale.Results:The incidence of anxiety and depression was 27.58% and 41.38% in 58 women with MHD.In the KDQOL-SFTM1.3 scale, the scores of effects of kidney disease(EKD),bacterial kidney disease(BKD),symptom/problem list(SPL),cognitive function(CF) and dialysis staff encouragement(DSE),work status(WS),social support(SoS),sleep, patient satisfaction(PS),mental health(MH),physical function(PF) and vitality(VT),general health(GH) and role limitation due to emotional problems(RE) were lower than those in the non anxiety group(P<0.05).Between depression group and no depression group,the quality of social interaction,(QSI) and role limitation due to physical problems(RP) of the two groups were compared with no significant difference(P>0.05).The scores of other dimensions were significantly lower than those no depression(P<0.05).Conclusion:The incidence rate of anxiety and depression is high in female maintenance hemodialysis patients, and it has an impact on the quality of life of patients from different aspects.

关 键 词：肾功能衰竭 焦虑 抑郁 维持性血液透析 女性 生活质量 

分 类 号：R692.5[医药卫生—泌尿科学] R473.5[医药卫生—外科学]