应用自评抑郁量表调查血液透析患者的状态及护理

目的了解心理因素对血液透析病人的影响及探寻心理护理对策。方法采用自评抑郁量表(Self-Rating Depression Scale,SDS)调查50例血液透析病人,衡量血液透析患者抑郁状态的轻重程度及其在治疗中的变化。结果 50例血液透析患者中女性21例,发生不同程度的抑郁有16例,男性29例,发生不同程度的抑郁有27例,男女发生抑郁经χ2检验比较,差异无统计学意义(P>0.05);血液透析龄<2年有16人,>3年有34人,SDS得分经t检验比较,差异有统计学意义(P<0.05)。结论血液透析患者普遍存在抑郁的心理问题,不良的情绪将引发免疫力的下降,直接影响透析效果,因此,做好其心理护理至关重要。

Application of Self-rating Depression Scale to Investigate the Status and Nursing of Hemodialysis Patients

Objective To understand the psychological factors of hemodialysis patients and to explore the effects of psychological nursing countermeasures. Methods Self-rating Depression Scale (SDS) was used to investigate 50 cases of hemodialysis patients to measure the depressive state and changes during hemodialysis treatment. Results In the 50 cases of hemodialysis patients, 16 cases of 21 females had different degrees of depression; 27 cases of 29 male s had different degrees of depression, by χ2 test the difference was not statistically significant (P >0.05); dialysis age <2 years 16 cases, >3 years 34 cases, the SDS scores by t test comparison had statistically significant difference (P <0.05). Conclusion Hemodialysis patients have prevalence psychological problems of depression, bad mood will elicit immunity decline, and directly influence the dialysis effect, therefore, good psychological nursing is crucial.