| 摘要 |
摘要 目的：探讨维持性血透 (maintenance hemodialysis, MHD)患者抑郁状况与人格特征相关性。方法：本研究观察对象为2020年3月~2023年3月宣城市中心医院85例MHD患者，采用(self-rating depression scale, SDS)进行抑郁情绪评估，将SDS评分≥53分设为抑郁组，＜53分设为非抑郁组。比较两组患者一般资料以及大五人格量表简化版(neuroticism extraversion openness five-factor inventory, NEO-FFI)，分析抑郁组患者NEO-FFI 各项评分与SDS评分的相关性。结果：85例患者中，29例检出抑郁情绪，其中轻度14例，中度12例，重度3例；抑郁组与非抑郁组年龄、透析龄、受教育年限、合并并发症差异具有统计学意义（P<0.05）；两组性别、工作情况、婚姻差异无统计学意义（P>0.05）;抑郁组外向、尽责、宜人、开放人格评分显著低于非抑郁组，神经质人格评分显著高于非抑郁组，（P<0.05）；抑郁组外向、尽责、宜人、开放人格评分与SDS评分呈负相关，神经质人格评分与SDS评分呈正相关，（P<0.05）。结论：维持性血透患者抑郁情绪检出率较高，且抑郁情绪与人格特征具有密切联系。
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| Abstract |
[Abstract] Objective To investigate the correlation between depression and personality traits in maintenance hemodialysis (MHD) patients. Methods Eighty-five MHD patients from March 2020 to March 2023 in Xuancheng City Central Hospital were the observation subjects of this study. The self-rating depression scale (SDS) was used to assess the depressed mood, and the SDS score ≥ 53 was set as the depressed group and < 53 as the non-depressed group. The general information of the patients in the two groups and the simplified version of the Big Five personality inventory (neuroticism extraversion openness five-factor inventory, NEO-FFI) were compared. The correlation between NEO-FFI scores and SDS scores of patients in the depressed group was analyzed. Results Among the 85 patients, 29 cases were detected with depressed mood, including 14 cases of mild, 12 cases of moderate, and 3 cases of severe. The differences in age, age on dialysis, years of education, and comorbid complications between the depressed and non-depressed groups were statistically significant (P<0.05). The difference in gender, work situation, and marriage between the two groups was not statistically significant (P>0.05). Extraversion, dutifulness, pleasantness, and openness personality scores in the depressed group were significantly lower than those in the non-depressed group, and neurotic personality scores were significantly higher than those in the non-depressed group (P<0.05). Extraversion, dutifulness, pleasantness, and openness personality scores were negatively correlated with SDS scores in the depressed group, and neurotic personality scores were positively correlated with SDS scores (P<0.05). Conclusion Maintenance hemodialysis patients have a high detection rate of depressive mood and a strong association between depressive mood and personality traits.
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