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社会因素对终末期肾病透析患者抑郁情绪的影响

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目的 探讨社会因素对终末期肾病(End-stage renal disease,ESRD)透析患者抑郁情绪的影响.方法 选择2019年1月~2023年9月80例ESRD透析患者,进行抑郁情绪评估.比较抑郁患者与无抑郁患者社会支持、社会隔离、社交回避等社会学因素,分析抑郁情绪与社会因素的相关性.结果 80例ESRD透析患者具有抑郁情绪29例;两组社会学资料中文化程度、家庭收入差异显著(P<0.05),婚姻、居住地差异不显著(P>0.05);抑郁患者社会隔离以及社会支持总分显著低于无抑郁患者,社交回避评分显著高于无抑郁患者,(P<0.05);家庭收入、社会支持、社会隔离、社交回避是终末期肾病透析患者抑郁的影响因素(P<0.05).结论 ESRD透析患者具有较高的抑郁发生率,社会隔离、社交回避等社会因素与抑郁情绪具有显著关联,应促进患者积极融入社会.
Influence of social factors on depression in dialysis patients with end-stage renal disease
Objective To explore the influence of social factors on depression in dialysis patients with End-stage renal disease(ESRD).Methods Eighty ESRD dialysis patients from January 2019 to September 2023 were selected for depressed mood assessment.To compare the social support,social isolation,social avoidance and other sociologi-cal factors of depressed patients with those without depression.To analyze the correlation between depressed mood and social isolation and social avoidance.Results 29 ESRD dialysis patients had depression among 80 cases.There were significant differences in educational level and family income between the two groups(P<0.05).The differences in marriage,and place of residence were not significant(P>0.05).The total score of social isolation and social support in depressed patients was significantly lower than that in non-depressed patients,and the social avoidance score was sig-nificantly higher than that in non-depressed patients(P<0.05).Family income,social support,social isolation and social avoidance were the influencing factors of depression in dialysis patients with end-stage renal disease(P<0.05).Conclusion ESRD dialysis patients have a high rate of depression,and social isolation and social avoidance are sig-nificantly associated with depression,which should be promoted to actively integrate patients into society.

End-stage renal diseaseMaintenance hemodialysisSocial isolationSocial avoidanceDepression

柏娟、常坤、胡炎鑫

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淮南阳光新康医院肾内科(淮南,232001)

终末期肾病 维持性血液透析 社会隔离 社交回避 抑郁

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)