维持性血液透析患者焦虑抑郁与治疗依从性的相关性分析

汪慧智 卢亚飞 邬燕萍

[摘要] 目的 探討维持性血液透析患者焦虑抑郁与治疗依从性的相关性。 方法 选择2019年1月至2020年7月在我院行维持性血液透析患者60例为调查对象。采用SAS量表及SDS量表对患者焦虑、抑郁情绪进行评价。采用Frankl量表对患者治疗依从性进行评价。比较不同焦虑、抑郁程度患者治疗依从性评分。分析维持性血液透析患者焦虑、抑郁评分与治疗依从性的相关性。 结果 ①无焦虑的患者100.0%治疗依从性评分为4分;轻度焦虑有33.3%的患者为4分，28.6%的患者为3分;中度焦虑的患者20.0%评分为4分，30.0%的患者为2分，25.0%的患者为1分;重度焦虑的患者63.6%的患者评分为1分，无4分的患者。不同焦虑程度的患者治疗依从性评分比较，差异有统计学意义（P<0.05）。②无抑郁患者85.7%治疗依从性分4分，轻度抑郁21.7%评分4分，60.9%评分3分;中度抑郁的患者23.8%评分1分，33.3%评分2分;重度抑郁患者88.9%评分1分，无评分3分及4分的患者。不同抑郁程度患者治疗依从性评分比较，差异有统计学意义（P<0.05）。③相关性分析结果显示，维持性血液透析患者抑郁、焦虑评分与治疗依从性评分呈显著负相关（r=-0.714，-0.797）。 结论 维持性血液透析患者大多存在不同程度的焦虑抑郁情况，并且焦虑抑郁情况与治疗依从性呈显著负相关。

[关键词] 维持性血液透析;焦虑;抑郁;治疗依从性

[中图分类号] R459.9          [文献标识码] B          [文章编号] 1673-9701（2021）24-0126-03

Correlation analysis between anxiety and depression and treatment compliance in maintenance hemodialysis patients

WANG Huizhi   LU Yafei   WU Yanping

Department of Rheumatology and Immunology and Nephrology， Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine， Hangzhou Red Cross Hospital， Hangzhou   310003， China

[Abstract] Objective To explore the correlation between anxiety and depression and treatment compliance in maintenance hemodialysis patients. Methods A total of 60 patients undergoing maintenance hemodialysis in our hospital from January 2019 to July 2020 were selected as the research objects. SAS scale and SDS scale were used to evaluate patients′ anxiety and depression. Frankl scale was used to evaluate patients′ treatment compliance. The treatment compliance scores of patients with different anxiety and depression were compared. The correlation between anxiety and depression scores and treatment compliance of maintenance hemodialysis patients was analyzed. Results ①The score of 100.0% compliance of patients without anxiety was 4 points. In the mild anxiety group，33.3% patients scored 4 points and 28.6% patients scored 3 points. 20.0% patients with moderate anxiety scored 4 points. 30.00% patients scored 2 points and 25.0% patients scored 1 point.63.6% of patients with severe anxiety scored 1 point，but no patients scored 4 points. There were significant differences in the scores of treatment compliance among patients with different degrees of anxiety（P<0.05）. ②85.7% patients without depression scored 4 points for treatment compliance. 21.7% patients with mild depression scored 4 points and 60.9% patients scored 3 points.23.8% patients with moderate depression scored 1 point and 33.3% patients scored 2 points. 88.9% of patients with severe depression scored 1 point， but no patients scored 3 or 4 points. The treatment compliance scores of patients with different depression levels were significantly different（P<0.05）. ③Correlation analysis showed that depression and anxiety scores of maintenance hemodialysis patients were negatively correlated with treatment compliance scores （r=-0.714，-0.797）. Conclusion Most maintenance hemodialysis patients have different degrees of anxiety and depression， and there is a significant negative correlation between anxiety and depression and treatment compliance.