维持性血液透析患者抑郁与社会支持及自我效能的相关性分析
Correlation analysis of depression with social support and self-efficacy in maintenance hemodialysis patients
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2024, 51(5) |
| 作者 |
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| 作者单位 |
茂名市人民医院，肾内科二区 ;
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| 摘要 |
【摘要】 分析维持性血液透析（Maintenance hemodialysis，MHD）患者抑郁与社会支持及自我效能的相关性。方法 选取并研究2021年1月至2023年1月在我院收治的80例MHD患者，依据汉密尔顿抑郁-17量表进行抑郁情况评定，分为抑郁组（n=32）和非抑郁组（n=48）。比较两组基础资料信息，通过ROC及经多因素Logistic回归分析社会支持及自我效能预测MHD患者抑郁的价值，采用Pearson相关性分析MHD患者抑郁与社会支持及自我效能的关系。结果 抑郁组社会支持总分、自我效能总分低于非抑郁组（P＜0.05）；经多因素Logistic回归分析证实，社会支持及自我效能是影响MHD患者抑郁的危险因素（P＜0.05）；经ROC分析证实，社会支持、自我效能可用于MHD患者抑郁的预测，曲线下面积分别为0.692、0.870，均有P＜0.05；相关性分析显示，社会支持、自我效能与MHD患者抑郁呈负相关（P＜0.05）。结论 社会支持及自我效能是影响MHD患者抑郁的危险因素，且与抑郁呈负相关，临床可通过提高社会支持及自我效能来降低抑郁的发生。
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| Abstract |
【Abstract】Objective To analyze the correlation between depression and social support and self-efficacy in maintenance hemodialysis (MHD) patients.Methods Eighty patients with MHD admitted to our hospital from January 2021 to January 2023 were selected and studied. According to the Hamilton depression-17 (HAMD-17) scale, depression status was assessed, and they were divided into depression group (n=32) and non-depression group (n=48).The value of social support and self-efficacy in predicting depression in MHD patients was analyzed by ROC and multivariate Logistic regression, and the relationship between depression and social support and self-efficacy in MHD patients was analyzed by Pearson correlation.Results The total scores of social support and self-efficacy in depression group were lower than those in non-depression group (P<0.05).Multivariate Logistic regression analysis confirmed that social support and self-efficacy were risk factors for depression in MHD patients (P<0.05).ROC analysis proved that social support and self-efficacy could be used to predict depression in MHD patients, and the area under the curve were 0.692 and 0.870, respectively, with P<0.05.Correlation analysis showed that social support and self-efficacy were negatively correlated with depression in MHD patients (P<0.05).Conclusion Social support and self-efficacy are risk factors for depression in MHD patients, and are negatively correlated with depression. Clinical improvement of social support and self-efficacy can reduce the occurrence of depression.
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| 关键词 |
【关键词】维持性血液透析；抑郁；社会支持；自我效能
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| KeyWord |
【Key words】Maintenance hemodialysis; Depression; Social support; self-efficacy
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| 基金项目 |
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| 页码 |
1618-1621 |
梁戈*.
维持性血液透析患者抑郁与社会支持及自我效能的相关性分析 [J].
国际精神病学杂志.
2024; 51; (5).
1618 - 1621.