焦虑抑郁对尿毒症患者病情的影响  

Influence of mental state on condition of patients with uremia

作　　者：彭侃夫[1] 孟建中[1] 徐悦[1] 王琪[1] 邵玉萍[1] 于颖[1] 

机构地区：[1]济南军区总医院血液净化中心,山东济南250031

出　　处：《实用医药杂志》2003年第7期523-525,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨焦虑抑郁对尿毒症患者治疗及转归的影响。方法选择180例尿毒症透析患者,采用医院焦虑抑郁情绪(Hospitalanxietyanddepression,HAD)测定量表进行问卷调查,对其中166例有效问卷资料进行统计学分析。结果166例患者中,出现焦虑者85例,占51.20%;抑郁者45例,占27.11%。年龄、性别、职业、文化程度等对患者焦虑、抑郁状况影响较小;家庭关系、首次发病、性格、病情和有无公费医疗和心理治疗等对患者焦虑、抑郁状况影响显著。心理异常的尿毒症患者其心功能衰竭、高血钾、代谢性酸中毒等并发症的发生率均较心理正常者高。结论焦虑、抑郁等情绪变化可加重尿毒症患者的病情,影响其发展及转归。Objective To investigate the influence of anxiety and depression on treatment and outcome of patients with uremia.Methods Data of one hundred and eighty patients with uremia tested by hospital anxiety and depression scale were investigated with questionaries.Among them,166effective questionary-answers were analysed statistically.Results There were85patients(51.20%)with anxiety and45patients(27.11%)with depression.The important factors influencing mental state of patients were rela-tion of family,the first time suffering uremia,characters of patients,degree of the disease and the medical fee.The age,sex,occupation and educated content of patients had little effect on condition of patients.The incidence of heart failure,hyperpotassemia and metabolic acidosis were significantly higher in uremia patients with mental disorders compared with the patients without mental disorder.Conclusion Anxiety and depression might aggravate the state of uremia and influence the outcome of uremia.

关 键 词：尿毒症 焦虑 抑郁 心理测验 

分 类 号：R395.1[哲学宗教—心理学]