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目的:调查与研究终末期肾病患者(ESRD)常见的心理问题,提高患者对血液透析的信任、改善患者的生活质量。方法:2012年6月~2013年3月对株洲市331医院、株洲市二医院、株洲市人民医院、望城县人民医院的100例终末肾病患者进行问卷调查,采用多中心研究方法,对100例血液透析患者采用Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)及终末期肾脏疾病透析患者调查表(KDQOL-SFTM)进行问卷调查。结果:按照中国常模结果,轻度焦虑及中度焦虑达93%,重度焦虑达7%。抑郁及恐惧患者达87%。结论:血液透析患者易产生焦虑、抑郁及恐惧情绪,并影响他们的生活质量,有必要将心理治疗和躯体治疗有效结合来提高整体治疗效果,减少抑郁和焦虑的发生,改善患者的生活质量。
Objectives: To investigate and study the common psychological problems in patients with end-stage renal disease (ESRD), improve their trust in hemodialysis and improve their quality of life. Methods: From June 2012 to March 2013, 100 patients with terminal nephropathy in Zhuzhou 331 Hospital, Zhuzhou Second Hospital, Zhuzhou People’s Hospital and Wangcheng County People’s Hospital were investigated by questionnaire. In hemodialysis patients, the Zung Depression Self-rating Scale (SDS), Self-rating Anxiety Scale (SAS) and Dialysis Patients Questionnaire (KDQOL-SFTM) were used for questionnaire survey. Results: According to the Chinese norm, mild anxiety and moderate anxiety reached 93% and severe anxiety reached 7%. Depression and fear of up to 87% of patients. Conclusion: Hemodialysis patients are prone to anxiety, depression and fear and affect their quality of life. It is necessary to combine psychotherapy and physical therapy effectively to improve the overall treatment effect, reduce the occurrence of depression and anxiety, and improve the quality of life of patients.