尿毒症患者抑郁状况调查及相关因素分析

目的 研究影响尿毒症患者抑郁状况出现的相关因素.方法 选取2007年1月至2011年5月在我科住院的120例尿毒症患者作为研究组,根据抑郁自评量表(self-rating depression scale,SDS)测定抑郁症状,同时选取100例非尿毒症患者作为对照组,分析抑郁相关因素.结果 研究组抑郁的发病率(30％)明显高于对照组(15％),差异有统计学意义(P＜0.05).女性、年龄60岁以上、文化程度高、血液透析患者、对疾病预后及治疗前景了解甚少、病程较长、无医疗保险的患者较容易出现抑郁状况.结论 在尿毒症的治疗过程中除应重视尿毒症本身的治疗外,还应高度关注患者的心理状况,采取积极有效的心理干预.

Analysis of related factors affecting the development of depression in uremia patients

Objective To investigate related factors affecting the development of depression in uremia patients.Methods Research subjects were 120 uremia patients hospitalized in our hospital from January 2007 to May 2011.At the same time,100 non-uremia patients were selected as control.Symptoms of depression were measured with the self-rating depression scale (SDS).Results When a comparison was made between the research group and the control group,it was found that uremia patients had a significantly higher incidence of depression than the non-uremia patients.Female uremia patients,having an age of over 60 years old and higher education level,receiving hemodialysis,with little understanding of prognosis and long course of disease,and without public medical care,were more susceptible to depression.Conclusions In the course of treatment,great attention should be paid not only to the treatment of uremia itself,but also to the mental status of the patients,and positive psychological intervention should be made for better treatment results.