摘要
目的探讨腹膜透析患者焦虑和抑郁状况及其危险因素,为临床护士对患者心理干预提供依据。方法选取169例腹膜透析患者,应用Zung’s的焦虑自评量表、抑郁自评量表评估患者的焦虑和抑郁症状,并对影响因素进行单因素及多因素Logistic回归分析。结果患者焦虑得分为(41.24±9.11)分,抑郁得分为(48.71±12.06)分。焦虑发生率为17.8%,抑郁发生率为52.6%。焦虑发生的独立危险因素为工作状况、皮肤干燥、皮肤瘙痒、上臂中点围、年龄。抑郁发生的独立危险因素为文化程度、医疗费用、工作状况、食欲、握力、小腿围、有无浮肿、皮肤瘙痒。结论腹膜透析患者存在焦虑抑郁情绪,焦虑和抑郁的发生与多种因素有关。医务人员应重视腹膜透析患者的心理状况,针对患者不同情况实施心理干预。
Objective To study the risk factors of anxiety and depression in peritoneal dialysis patients and to provide evidence of psychological intervention on patients for clinical nurses.Methods 169 patients with peritoneal dialysis were surveyed with Self-Rating Anxiety Scale（SAS） and Self-Rating Depression Scale（SDS）.The data were analyzed by multi-factor Logistic regression analysis.Results Mean score of anxiety was（41.24±9.11） and depression（48.71±12.06）.The incidences of anxiety and depression were 17.8% and 52.6% respectively.Independent factors for anxiety were working status,age,dry skin,skin itching,mid upper arm circumference.Independent factors for depression were education background,medical expenses,working status,appetite,grip strength,calf circumference,edema and skin itching.Conclusion Many factors contributed to anxiety and depression of peritoneal dialysis patients.Medical staff should pay more attention to the psychological status of peritoneal dialysis patients who with different conditions during the implementation of psychological intervention.
出处
《护理学报》
2011年第7期16-19,共4页
Journal of Nursing（China）
基金
广西壮族自治区科技厅自然科学基金课题(桂科自0832116)
