老年尿毒症透析患者焦虑的影响因素观察

The observation on the influencing factors of anxiety in elderly patients with uremia dialysis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

河北省保定市第一中心医院肾内科 ;
河北省第六人民医院 精神科 ;

摘要
【摘要】 研究老年尿毒症透析患者焦虑情绪的影响因素。方法 采用 流行病学横断面研究方法纳入120例接受透析治疗的老年尿毒症患者作为研究对象,以汉密尔顿焦虑量表(HAMA)调查其焦虑情绪现状,以Logistic多因素分析法探讨一般人口学资料、营养社会支持状况、病理和治疗因素与患者焦虑情绪的关系。结果 老年尿毒症患者HAMA评分为(20.76±8.12)分,80%患者存在焦虑情绪,HAMA评分与婚姻状态、文化程度、收入水平、社会支持和营养状态、肌酐、尿酸、超敏CRP水平及治疗方案有关(P<0.05)。经Logistic分析显示,文化程度、社会支持、营养状态及透析治疗方案是影响患者焦虑情绪评分的独立因子(P<0.05)。结论 文化程度、社会支持、营养状态及透析治疗方案与老年尿毒症透析患者焦虑情绪密切相关,老年患者推荐采用腹腔透析,同时应注重改善患者营养状况,并针对患者性格特点进行心理干预。
Abstract
【Abstract】 Objective To study the influencing factors of anxiety in elderly patients with uremia dialysis.Methods 120 elderly uremic patients who underwent dialysis was conducted by the epidemiological cross-sectional,the anxiety status was investigated by Hamilton Anxiety Scale (HAMA).The Logistic multivariate analysis was used to investigate the relationship between demographic data, nutrition, social support, pathological,treatment factors and anxiety.Results The HAMA score of elderly uremia patients was (20.76±8.12) points,80% of the patients had anxiety.The HAMA scores were related to marital status, education level, income level, social support and nutritional status, creatinine, uric acid, high sensitivity CRP levels and treatment protocols(P<0.05),the Logistic analysis showed that educational level, social support, nutritional status and dialysis treatment program were independent factors affecting the anxiety score of patients(P<0.05).Conclusion The educational level, social support, nutritional status and dialysis treatment program are closely related to anxiety in elderly patients with uremia and dialysis,peritoneal dialysis is recommended for elderly patients.We should pay attention to improve the nutritional status of patients, and psychological intervention for patients with personality characteristics.
关键词
【关键词】 老年尿毒症;透析;焦虑;影响因素
KeyWord
【Key words】 Elderly uremia,Dialysis,Anxiety,Influencing factors
基金项目
页码 715-717
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赵春艳*,严保平,曹小会,冉方,张红. 老年尿毒症透析患者焦虑的影响因素观察 [J]. 国际精神病学杂志. 2018; 45; (4). 715 - 717.

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