婚姻质量对维持性血液透析患者抑郁的影响分析

目的 本文旨在探讨婚姻质量对维持性血液透析患者抑郁水平的影响,以期为临床护理管理者采取干预措施,降低血液透析患者的抑郁水平提供参考。 方法 采用便利抽样法抽取2016年2月-2017年2月间于温州医科大学附属第二医院进行血液透析的患者176名,使用一般资料调查表、婚姻主观感受量表和贝克抑郁量表进行问卷调查,使用单因素分析、Pearson相关分析进行数据统计,了解患者的婚姻质量和抑郁水平的现状,并探讨两者之间的关系。 结果 维持性血液透析患者的抑郁总分为(25.88±5.94)分,婚姻质量总分为(50.18±12.86)分,单因素分析显示,文化程度、病程、婚姻质量是维持性血液透析患者抑郁水平的影响因素,维持性血液透析患者的婚姻质量与其抑郁水平呈负相关(r=-0.362,P<0.001)。 结论 抑郁是维持性血液透析患者常见的心理疾病,本研究显示,婚姻质量可以预测维持性血液透析患者的抑郁水平,提高维持性血液透析患者的婚姻质量将有助于改善患者的抑郁水平。 

Correlative analysis of marital quality and depression in maintenance hemodialysis patients

Objective To investigate the effect of marital quality on the level of depression in maintenance hemodialysis patients in order to provide a reference for clinical nursing managers to take interventions to reduce the level of depression in hemodialysis patients. Methods A total of 176 hemodialysis patients were recruited from the Second Affiliated Hospital of Wenzhou Medical University, between February, 2016 and February, 2017. They were investigated with the general information questionnaire, marriage perception scale and Chinese version of the Beck depression inventory-Ⅱ. Statistical analysis was conducted using univariate analysis, Pearson correlation analysis to understand the status of the patient's marriage quality and depression level, and to explore the relationship between the two. Results The total score of depression in maintenance hemodialysis patients was (25.88±5.94) points, and the total score of marriage quality was (50.18±12.86) points. Single factor analysis showed that the literacy, duration, and marital quality were the influencing factors of depression in maintenance hemodialysis patients. The quality of marriage in patients with maintenance hemodialysis was negatively correlated with their depression level (r=-0.362, P<0.001). Conclusion Depression is a common psychological disease in maintenance hemodialysis patients. This study shows that the quality of marriage can predict the depression level of maintenance hemodialysis patients, and improving the marital quality of maintenance hemodialysis patients will help improve the depression level of patients.