心理干预对维持性血液透析病人抑郁障碍的影响被引量：4

Influence of psychological intervention on depression disorder of patients with maintenance hemodialysis

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摘要 [目的]探讨心理干预对维持性血液透析(MHD)病人抑郁障碍的影响。[方法]选取在我院行维持性血液透析的80例病人并随机分为干预组和对照组各40例,对照组采用常规健康教育方法,干预组在常规健康教育的基础上实施为期16周的心理干预,干预前后比较两组抑郁自评量表(SDS)及症状自评量表(SCL-90)评分情况。[结果]干预后干预组SDS评分及SCL-90量表的躯体化、抑郁、焦虑、恐怖因子评分均低于对照组,差异有统计学意义(P<0.05)。[结论]心理干预能有效改善维持性血液透析病人的抑郁状态。 Objective：To probe into the influence of psychological intervention on depression disorder of patients accepting maintenance hemodialysis （MHD）.Method：A total of 80 cases undergoing MHD in our hospital were selected and divided into intervention group and control group randomly 40 cases each.Patients in control group were adopted health education as routine.Patients in intervention group were carried out psychological interven-tion for 1 6 weeks based on the routine health education.Then scorings of self depression scale （SDS）and SCL 90 of the two groups cases were compared before and after the intervention.Results：After the intervention,SDS scores and scores of factors of somatization,depression,anxiety and phobias of SCL 90 of intervention group cases Conclusion：Psychological intervention can effectively improve the depression state of patients undergoing MHD. were all lower than that of the control group.There were significant statistical differences between then（P 〈0.05）.

作者张晓莺周萍李文庆林妙芬

机构地区汕头大学医学院第二附属医院

出处《护理研究（下旬版）》 2015年第6期2203-2205,共3页 Chinese Nursing Researsh

基金 2013年广东省医学科研基金立项课题编号:A2013410

关键词心理干预维持性血液透析抑郁 psychological intervention maintenance hemodialysis depression

分类号 R473.5 [医药卫生—护理学]

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参考文献9

1Cukor D, Peterson RA, Cohen SD, et al. Depression in end- stage- renal disease hemodialysis patients[J]. Nat Clin Pract Nephrol, 2006,2 :678.
2Chou KL, Chi I. Prevalence of depression among elderly Chinese with diabetes[J]. Int J Geriatr Psychiatry, 2005,20(6) : 570 - 575.
3Egede LE. Diabetes, major depression, and functional disability a- mong U. S. adults[J]. Diabetes Care,2004,27(2) :421 - 428.
4贾君慧.维持性血液透析病人的心理护理[J].中国疗养医学,2009,18(7):611-611. 被引量：5
5王征宇.症状自评量表(SCL90)[J].上海精神医学,1984,2(2):68-70.
6谌南岚,毕慧欣,黄谷香,刘瑞洪.维持性血液透析患者焦虑和抑郁状态的调查[J].广东医学,2010,31(22):2939-2940. 被引量：41
7刘德惠,李宓,李杰,杜艺.维持性血液透析患者动脉粥样硬化的早期诊断及相关因素研究[J].国际泌尿系统杂志,2009,29(5):585-590. 被引量：4
8Kimmel PL, Peterson RA, Weihs KL, et al. Psychologic functio- ning,guaIity of Iife, and behavioraI compliance in patients begin- ning hemodiaIysis[J]. J Am SocNephron, 1996,7(10) : 2152.
9Rogers MP, Fozdar M. Psychoneuroimmunology of autoimmune disorders[J]. Advanced Neuroimmunology, 1996, 6 ( 2 ) : 169 - 177.

二级参考文献19

1Foley RN. Should hemoglobin be normalized in uremic patients? Clin Nephrol, 2002, 58 (Suppll) : 58-61.
2Nasri H, Baradaran A. Association of Serum lipoprotein(a) with ultrasonographieally determined early atherosclerotie Changes in the carotid and femoral arteries in kidney transplanted patients. Transplant Proc, 2004, 36(9) : 2683 -2686.
3Tiong AY, Brieger D. Inflanmation and coronary artery disease. Am Heart J, 2005, 150( 1 ) : 11 - 18.
4Stenvinkel P, Heinburger O, Paultre F, et al. Strong association between malnutrition, inflammation and atherosclerosis in chronic renal failure. Kidney Int, 1999, 55: 1899-1911.
5Ishimura E, Taniwaki H, Tabata T, et al. Cross- sectional association of serum phosphate with carotid intima - medial thickness in hemodialysis patients. Am J Kidney Dis, 2005, 45 : 859 - 865.
6Giachelli CM, Jono S, Shioi A, et al. Vascular calcification and inorganic phosphate. Am J Kidney Dis, 2001, 38 (Suppl 1 ): S34 - S37.
7LOPES A A,ALBERT J M,YOUNG E W,et al.Screening for depression in hemodialysis patients:associations with diagnosos,treatment,and outcomes in the DOPPS[J].Kideney Int,2004,66(5):2047-2053.
8FINKELSTEIN F O,WUERTH D,FINKELSTEIN S H.An approach to addressing depression in patients with chronic kidney disease[J].Blood Purif,2010,29(2):121-124.
9LEAF D E,GOLDFARB D S.Interpretation and review of health-related quality of life data in CKD patients receiving treatment for anemia[J].Kindey Int,2009,75(1):15-24.
10OUZOUNI S,KOUIDI E,SIOULIS S,et al.Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients[J].Clin Rehabil,2009,23(1):53-63.