社会支持对慢性肾脏病患者焦虑、抑郁情绪的影响
Effects of social support on anxiety and depression in patients with chronic kidney disease
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摘要: 目的:了解慢性肾脏病(CKD)患者的焦虑、抑郁患病率,探讨社会支持对患者焦虑和抑郁情绪的影响。方法:纳入CKD患者118例,应用焦虑自评量表、抑郁自评量表和社会支持评定量表对患者进行问卷调查。并先后采用单因素与多因素分析方法,探讨社会支持对CKD患者焦虑、抑郁情绪的影响。结果:CKD患者焦虑阳性率为24.58%,焦虑自评量表平均总粗分(35.11±7.39)分,高于国内常模(29.78±10.07)分(P<0.01);抑郁阳性率为41.53%,抑郁自评量表平均总粗分(39.19±8.32)分,高于国内常模(33.46±8.55)分(P<0.01)。社会支持分为(40.9±7.9)分,与焦虑(r=-0.28,P<0.01)、抑郁(r=-0.22,P<0.05)评分均呈负相关关系。logistic回归分析提示,社会支持为焦虑的保护因素[OR=0.534,95%CI(0.30~0.95),P<0.05];女性[OR=2.316,95%CI(1.01~5.30),P<0.05]、CKD分期[OR=1.536,95%CI(1.07~2.22),P<0.05]均为抑郁的危险因素。结论:CKD患者焦虑、抑郁的阳性率高于一般人群,社会支持是CKD患者焦虑情绪的独立保护因素。Abstract: Objective: To study the prevalence of anxiety and depression in patients with chronic kidney disease(CKD) and the effects of social support on these negative emotions. Methods: A total of 118 inpatients with CKD were surveyed with self-evaluation of anxiety scale(SAS), self-rating of depression scale(SDS) and social support rating scale. Logistic regression analysis was adopted to investigate the influence of social support on the anxiety and depression in patients with CKD. Results: The prevalence of anxiety and depression among CKD patients was 24.58% and 41.53% respectively;and the average score of SAS and SDS was 35.11±7.39 and 39.19±8.32 respectively, which was significantly higher than the national norm(SAS:29.78±10.07, SDS:33.46±8.55)(P<0.01). The average score of social support was 40.9±7.9, which was negatively correlated with SAS(r=-0.28, P<0.01) and SDS(r=-0.22, P<0.05) score. Logistic regression analysis showed that social support was the protective factor for anxiety(OR=0.534, 95%CI:0.30~0.95, P<0.05), while female(OR=2.316, 95%CI:1.01~5.30, P<0.05) and CKD stages(OR=1.536, 95%CI:1.07~2.22, P<0.05) were the risk factors for depression. Conclusions: The positive rates of anxiety and depression in patients with CKD are higher than those in the general population. Social support is the the only protective factor for the negative emotions in patients with CKD.
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Key words:
- kidney disease /
- anxiety /
- depression /
- social support
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