透析患者心理状况与社会支持、透析方式的相关性研究  

Correlation Study between Psychological Status,Social Support and Dialysis Methods of Dialysis Patients

作　　者：吴楠楠 胡洁萍 付小丽 郑玮 唐杏明 唐俪文 WU Nannan;HU Jieping;FU Xiaoli;ZHENG Wei;TANG Xingming;TANG Liwen(Blood Purification Department,Dongguan Songshan Lake Donghua Hospital,Dongguan,Guangdong 523000)

机构地区：[1]东莞松山湖东华医院血液净化科,广东东莞523000

出　　处：《智慧健康》2024年第31期172-175,共4页Smart Healthcare

基　　金：2022年东莞市社会发展科技项目《新冠疫情期间透析患者心理状况与透析方式、社会支持的相关研究》(项目编号:20221800904642)。

摘　　要：目的 研究不同透析方式患者心理状况及其与社会支持的相关性。方法 纳入2022年8月—2023年3月于东莞松山湖东华医院规律地行透析治疗的205例尿毒症患者,根据透析方式分为血液透析组与腹膜透析组,收集患者临床资料,评估心理状况[广泛性焦虑量表(GAD-7)、病人健康问卷抑郁量表(PHQ-9)]并完成社会支持量表评分(SSRS),采用pearson相关性分析患者心理状况与临床资料、社会支持的相关性。结果 血液透析组剔除1例中途退出患者、4例资料不全患者,共99例有效。腹膜透析组剔除13例资料不全患者,共88例有效;两组的性别、婚姻情况等临床资料差异无统计学意义(P>0.05),年龄、家庭月收入、透析年龄等临床资料差异有统计学意义(P<0.05);透析患者GAD-7评分、PHQ-9评分与家庭月收入、社会支持度均呈负相关(P<0.05);血液透析组患者GAD-7评分、PHQ-9评分均低于腹膜透析组患者(P<0.05),两组SSRS评分无显著差异(P>0.05)。结论 透析患者心理状况与家庭月收入和社会支持度有关,家庭收入和社会支持程度越低的患者,心理状况越差。血液透析患者比腹膜透析患者心理状况相对较好。Objective To study psychological status of patients with different dialysis methods,and its correlation with social support.Methods The paper chose 205 uremia patients with regular dialysis treatment at Dongguan Songshan Lake Donghua Hospital from August 2022 to March 2023,and divided them into hemodialysis group and peritoneal dialysis group according to the dialysis method.Clinical data of patients were collected,psychological status(Generalized Anxiety Scale GAD-7),Patient Health Questionnaire Depression Scale(PHQ-9),and social support rating scale(SSRS)were evaluated.Correlation of psychological status,clinical data,and social support of patients was analyzed with Pearson analysis.Results There were 99 cases effective after excluding 1 case of midway withdrawal and 4 cases with incomplete data in the hemodialysis group.There were 88 effective cases after excludin 13 cases with incomplete data in the peritoneal dialysis group.There was no statistically significant difference in clinical data of gender and marital status between two groups(P>0.05),there was statistically significant difference in clinical data of age,monthly family income,and dialysis age(P<0.05).The GAD-7 scores and PHQ-9 scores of dialysis patients were negatively correlated with monthly family income and social support(P<0.05).The GAD-7 scores and PHQ-9 scores in the hemodialysis group were lower than the peritoneal dialysis group(P<0.05),there was no significant difference in SSRS scores between two groups(P>0.05).Conclusion Psychological status of dialysis patients is related to monthly family income and social support.Patients with low family income and social support have lowere psychological conditions.Hemodialysis patients have relatively better psychological conditions than peritoneal dialysis patients.

关 键 词：心理状况 社会支持 透析方式 

分 类 号：R47[医药卫生—护理学]