維持性血液透析患者焦慮抑郁與治療依從性的相關(guān)性分析

汪慧智 盧亞飛 鄔燕萍

[摘要] 目的 探討維持性血液透析患者焦慮抑郁與治療依從性的相關(guān)性。 方法 選擇2019年1月至2020年7月在我院行維持性血液透析患者60例為調(diào)查對(duì)象。采用SAS量表及SDS量表對(duì)患者焦慮、抑郁情緒進(jìn)行評(píng)價(jià)。采用Frankl量表對(duì)患者治療依從性進(jìn)行評(píng)價(jià)。比較不同焦慮、抑郁程度患者治療依從性評(píng)分。分析維持性血液透析患者焦慮、抑郁評(píng)分與治療依從性的相關(guān)性。 結(jié)果 ①無(wú)焦慮的患者100.0%治療依從性評(píng)分為4分;輕度焦慮有33.3%的患者為4分，28.6%的患者為3分;中度焦慮的患者20.0%評(píng)分為4分，30.0%的患者為2分，25.0%的患者為1分;重度焦慮的患者63.6%的患者評(píng)分為1分，無(wú)4分的患者。不同焦慮程度的患者治療依從性評(píng)分比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。②無(wú)抑郁患者85.7%治療依從性分4分，輕度抑郁21.7%評(píng)分4分，60.9%評(píng)分3分;中度抑郁的患者23.8%評(píng)分1分，33.3%評(píng)分2分;重度抑郁患者88.9%評(píng)分1分，無(wú)評(píng)分3分及4分的患者。不同抑郁程度患者治療依從性評(píng)分比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。③相關(guān)性分析結(jié)果顯示，維持性血液透析患者抑郁、焦慮評(píng)分與治療依從性評(píng)分呈顯著負(fù)相關(guān)（r=-0.714，-0.797）。 結(jié)論 維持性血液透析患者大多存在不同程度的焦慮抑郁情況，并且焦慮抑郁情況與治療依從性呈顯著負(fù)相關(guān)。

[關(guān)鍵詞] 維持性血液透析;焦慮;抑郁;治療依從性

[中圖分類號(hào)] R459.9? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）24-0126-03

Correlation analysis between anxiety and depression and treatment compliance in maintenance hemodialysis patients

WANG Huizhi? ?LU Yafei? ?WU Yanping

Department of Rheumatology and Immunology and Nephrology， Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine， Hangzhou Red Cross Hospital， Hangzhou? ?310003， China

[Abstract] Objective To explore the correlation between anxiety and depression and treatment compliance in maintenance hemodialysis patients. Methods A total of 60 patients undergoing maintenance hemodialysis in our hospital from January 2019 to July 2020 were selected as the research objects. SAS scale and SDS scale were used to evaluate patients′ anxiety and depression. Frankl scale was used to evaluate patients′ treatment compliance. The treatment compliance scores of patients with different anxiety and depression were compared. The correlation between anxiety and depression scores and treatment compliance of maintenance hemodialysis patients was analyzed. Results ①The score of 100.0% compliance of patients without anxiety was 4 points. In the mild anxiety group，33.3% patients scored 4 points and 28.6% patients scored 3 points. 20.0% patients with moderate anxiety scored 4 points. 30.00% patients scored 2 points and 25.0% patients scored 1 point.63.6% of patients with severe anxiety scored 1 point，but no patients scored 4 points. There were significant differences in the scores of treatment compliance among patients with different degrees of anxiety（P<0.05）. ②85.7% patients without depression scored 4 points for treatment compliance. 21.7% patients with mild depression scored 4 points and 60.9% patients scored 3 points.23.8% patients with moderate depression scored 1 point and 33.3% patients scored 2 points. 88.9% of patients with severe depression scored 1 point， but no patients scored 3 or 4 points. The treatment compliance scores of patients with different depression levels were significantly different（P<0.05）. ③Correlation analysis showed that depression and anxiety scores of maintenance hemodialysis patients were negatively correlated with treatment compliance scores （r=-0.714，-0.797）. Conclusion Most maintenance hemodialysis patients have different degrees of anxiety and depression， and there is a significant negative correlation between anxiety and depression and treatment compliance.