血液透析患者的抑郁水平与生活质量分析

目的了解维持性血液透析(maintenance hemodialysis,MHD)患者的抑郁水平及生活质量。方法选取MHD3个月以上并且愿意参加本项调查的260例患者作为调查对象。采用汉密顿抑郁量表(hamilton depres sionscale,HAMD)评估患者的抑郁状态,应用SF-36量表评价患者的生活质量。结果 32.69%的患者处于不同程度的抑郁状态,其中无抑郁组中有41.54%患者判断可能有抑郁。有抑郁情绪人群生理功能(PF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)和精神健康(MH)明显低于无抑郁情绪人群(P﹤0.05或P﹤0.01)。结论 MHD患者抑郁情绪患病率高;生活质量下降。

Correlations of depression with quality of life in patients undergoing maintenance hemodialysis dialysis

OBJECTIVE To evaluate the depressive disorder and it impacts on life quality in patients with maintenance hemodialysis.METHODS We recruited 260 patients with end stage of renal disease undergoing hemodialysis for more than 3 months in this dialysis center.Patients’ depressive status was evaluated by(hamilton depression scale,HAMD),and their health condition was assessed by SF-36 scales.RESULTS 32.69% patients were detected as depression,and 41.54% were possibly with depression.Depressive disorder had a significantly negative effects on physical function(PF),general health(GH),vitality(VT),social function(SF),role emotional(RE)and mental health(MH)(P﹤0.05 or P﹤0.01).CONCLUSION The prevalence rate of depressive disorder in patients with maintenance hemodialysis is relatively high.Depressive disorder can lead to a significant drop in life quality in patients with maintenance hemodialysis.