维持性血液透析患者抑郁与自杀意念现状及自杀意念的影响因素

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (523 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To understand the status and influencing factors of depression and suicidal ideation in maintenance hemodialysis (MHD) patients,so as to provide basis for preventing suicide in hemodialysis patients.Methods A random sample of 106 kidney failure patients who underwent MHD in Dongguan Songshan Lake Donghua Hospital from March 2020 to March 2021 were investigated by the patient health questionnaire (PHQ-9) and the self-rating idea of suicide scale (SIOSS).Multivariate logistic regression model was used to analyze the status of depression and suicidal ideation and the influencing factors of suicidal ideation in MHD patients.Results The detection rate of depression in MHD patients was 49%.The detection rate of patients who had quit smoking was higher than that of non-smokers and smokers,the detection rate of primary school and below education was higher than that of middle school or specialized secondary school,university and above,the differences were statistically significant (P＜0.05).The detection rate of suicidal ideation in MHD patients was 19.8%,and the detection rate of patients with family income of ＜5000 yuan was higher than that of patients with family income of ≥5000 yuan,the detection rate of patients with an education level of primary school and below was higher than that of patients with an education level above primary school,the detection rate of self-paid patients was higher than that of patients paid by medical insurance,the detection rate of patients with dialysis months less than 12 months was higher than that of patients over 12 months,the differences were statistically significant (P＜0.05).Multiple factor analysis of logistic regression model showed that the low per capita income of the patients′ family (β=1.300,OR=1.273,95%CI=1.182-1.307) and the short age of dialysis months (β=0.856,OR=1.425,95%CI=1.185-1.679) were the risk factors for suicidal ideation in MHD patients (P＜0.05).Conclusion The depression and suicidal ideation are common in MHD patients.Medical staffs should popularize hemodialysis related knowledge to patients in multiple dimensions to improve patients′ awareness of hemodialysis and reduce depression and prevent suicidal ideation of them.

Key words： Maintenance hemodialysis Depression Suicidal ideation Mental health Patients Regression analysis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I22/171

[1]	陈杏浩，骆敏芳.维持性血液透析患者抑郁影响因素研究[J].巴楚学，2021，4（3）：57-59.
[2]	赖钰明.慢性肾衰竭患者维持性血液透析治疗过程中重症感染的病原学特点及危险因素分析[J].中国全科医学，2020，23（S2）：31-34.
[3]	唐霞，刘蕾.血液透析患者自杀意念影响因素的回归分析[J].沈阳医学院学报，2019，21（1）：59-61.
[4]	唐毅，周强，张莉娜，等.某精神特色综合性医院维持性血液透析患者焦虑、抑郁与生活质量的相关性[J].贵州医科大学学报，2022，47（1）：90-95.
[5]	彭新涛，朱筱，张丽，等.维持性血液透析患者抑郁状态与蛋白质能量消耗的相关性分析[J].新疆医科大学学报，2020，43（5）：601-606.
[6]	杜睿，江光荣.自杀行为：影响因素、理论模型及研究展望[J].心理科学进展，2015，23（8）：1437-1452.
[7]	姜林辉，卢碧燕，李珍，等.新时期中职生心理控制源与自杀意念的相关研究[J].中国当代医药，2022，29（1）：153-157.
[8]	Spitzer RL，Kroenke K，Williams JB.Validation and utility of a self-report version of PRIME-MD：the PHQ primary care study.Primary Care Evaluation of Mental Disorders.Patient Health Questionnaire[J].JAMA，1999，282（18）：1737-1744.
[9]	夏朝云，王东波，吴素琴，等.自杀意念自评量表的初步制定[J].临床精神医学杂志，2002，12（2）：100-102.
[10]	于霞，何珊，杨能源，等.维持性血液透析病人焦虑、抑郁状况与家庭亲密度和适应性的关系[J].全科护理，2020，18（2）：199-201.
[11]	王亚楠，姜亚芳.维持性血液透析病人抑郁发生现状及影响因素分析[J].蚌埠医学院学报，2020，45（7）：977-981.
[12]	邹杨，温玉，刘诚，等.维持性血液透析患者焦虑、抑郁情况及与生活质量的关系[J].中国血液净化，2018，17（11）：743-747.
[13]	雷绮霞，李影花，卢伟，等.患者参与式管理模式对维持性血液透析患者焦虑、抑郁状况及监测指标的作用观察[J].中国中西医结合肾病杂志，2021，22（12）：1090-1093.
[14]	汪慧智，卢亚飞，邬燕萍.维持性血液透析患者焦虑抑郁与治疗依从性的相关性分析[J].中国现代医生，2021，59（24）：126-128，136.
[15]	陈丹青，唐阁.维持性血液透析患者焦虑抑郁状况及相关因素分析[J].辽宁中医杂志，2019，46（3）：542-546.
[16]	崔儒娟，刘光月，韦秋萍.以控制论为核心理念的护理干预在改善行血液透析治疗尿毒症患者负性情绪中的作用[J].中国医药科学，2020，10（8）：144-146，173.
[17]	周其珍，周雯颖，罗婷，等.认知心理干预对维持性血液透析患者心理韧性和自护能力的影响[J].中国当代医药，2022，29（7）：168-171.
[18]	Chen CK，Tsai YC，Hsu HJ，et al.Depression and suicide risk in hemodialysis patients with chronic renal failure[J].Psychosomatics，2010，51（6）：528.
[19]	杨小杰，刘安松，吕述治.老年尿毒症血液透析患者自杀意念状况及影响因素分析[J].保健医学研究与实践，2020，17（2）：77-79，92.
[20]	周利民，周薇，尤金芳.1 例维持性血透患者自杀的原因分析与护理对策[J].内蒙古中医药，2011，30（6）：26.