[1]熊利,伍亚舟,牟庆云,等.356例非透析慢性肾衰竭患者抑郁情况及生命质量的分析研究[J].第三军医大学学报,2019,41(02):163-169.
 XIONG Li,WU Yazhou,MU Qingyun,et al.Depression and quality of life in non-dialysis patients with chronic renal failure: analysis of 356 cases[J].J Third Mil Med Univ,2019,41(02):163-169.
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356例非透析慢性肾衰竭患者抑郁情况及生命质量的分析研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第02期
页码:
163-169
栏目:
公共卫生与预防医学
出版日期:
2019-01-30

文章信息/Info

Title:
Depression and quality of life in non-dialysis patients with chronic renal failure: analysis of 356 cases
作者:
熊利伍亚舟 牟庆云邓莉周洪文肖耀俊刘秀梅蒲敏
陆军军医大学(第三军医大学)军事预防医学系军队卫生统计学教研室;重庆市云阳县人民医院病案统计科; 重庆市三峡中心医院肾病内科;重庆市梁平区人民医院:肾病内科,病案统计科;重庆市江津区中医院病案室
Author(s):
XIONG Li WU Yazhou MU Qingyun DENG Li ZHOU Hongwen XIAO Yaojun LIU Xiumei PU Min

Department of Health Statistics, Faculty of Military Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing,400038; Department of Medical Record Statistics, Yunyang People’s Hospital, Chongqing, 404500;  Department of Nephrology, Chongqing Three Gorge Central Hospital, Chongqing, 404100; Department of Nephrology, Department of Medical Record Statistics, Liangping District People’s Hospital, Chongqing, 405200; Department of Medical Record Statistics, Jiangjin Traditional Chinese Medicine Hospital, Chongqing, 402260, China
 

关键词:
慢性肾衰竭非透析抑郁生命质量
Keywords:
chronic renal failure nondialysis depression quality of life
分类号:
R181.23; R692.5; R749.4
文献标志码:
A
摘要:

目的 评估非透析慢性肾衰竭患者的抑郁情况和生命质量,分析二者的相关关系及其影响因素。方法 选取2017年5月至2018年3月在重庆市三峡中心医院、重庆市云阳县人民医院、重庆市梁平区人民医院、重庆市江津区中医院就诊的并明确诊断为慢性肾衰竭且没有进行过透析的356例患者;采用Beck抑郁量表评估患者的抑郁情况,慢性肾衰竭生命质量量表(QLICD-CRF2.0)评估患者的生命质量情况。结果 356例非透析慢性肾衰竭患者抑郁发生率为45.22%;生命质量方面,抑郁组患者生理功能、心理功能、社会功能的评分均低于非抑郁组;反映症状的特异性模块的评分高于非抑郁组(P均<0.05);抑郁情况与生命质量的二分类Logistic回归分析结果显示:职业(OR=1.753,95%CI: 1.352~2.273)、住院次数(OR=1.221,95%CI: 1.007~1.480)、体现症状体征的特异性模块(OR=1.034,95%CI: 1.011~1.058)、心理功能(OR=0.922,95%CI: 0.902~0.942)、教育状况(OR=0.597,95%CI: 0.394~0.906)、家庭人均年收入(OR=0.514,95%CI: 0.346~0.765)是抑郁发生的独立危险因素。结论 非透析慢性肾衰竭患者的抑郁发生率较高,抑郁组患者的生命质量低于非抑郁组,职业、住院次数、特异性模块、心理功能、教育状况和家庭人均年收入影响着非透析慢性肾衰竭患者的生命质量。

Abstract:

Objective To evaluate the prevalence of depression and quality of life and their correlation in non-dialysis patients with chronic renal failure and analyze the factors affecting the occurrence of depression in these patients. Methods This study was conducted among 356 non-dialysis patients with chronic renal failure (including both inpatients and outpatients) from 4 general hospitals in Chongqing during the period from May, 2017 to March, 2018. Beck Depression Inventory-Ⅱ (BDI-Ⅱ) was used to assess the patient’s depression, and the quality of life the patients was assessed using Quality of Life Instrument for Chronic Disease-Chronic Renal Failure (QLICD-CRF2.0). Results The incidence of depression was 45.22% in the 356 patients with chronic renal failure without dialysis. The patients with depression had significantly lower quality of life scores (including the physiological function, psychological function, social function and total scores), but had significantly higher scores in the specific modules of response symptoms than those without depression (P<0.05). Binary logistic regression analysis of depression and quality of life showed that occupation (OR=1.753, 95%CI: 1.352-2.273), hospitalization frequency (OR=1.221, 95%CI: 1.007-1.480), specific modules (OR=1.034, 95%CI: 1.011-1.058), psychological function (OR=0.922, 95%CI: 0.902-0.942), education level (OR=0.597, 95%CI: 0.394-0.906), and annual income of the family (OR=0.514, 95%CI: 0.346-0.765) were all independent risk factors for the occurrence of depression in these patients. Conclusion The incidence of depression is high in non-dialysis patients with chronic renal failure. The patients with depression have lower quality of life scores than those without depression. Occupation, hospitalization frequency, specific modules, psychological function, education level and annual income of the family may affect the quality of life among the non-dialysis pati

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更新日期/Last Update: 2019-01-30