摘要
目的了解腹膜透析患者的抑郁状况,并探讨其影响因素。方法采用描述性研究设计,应用自编的一般资料调查表、抑郁自评量表、健康状况调查问卷、医学应对方式问卷对136例腹膜透析患者进行调查。结果136例腹膜透析患者的抑郁发生率为31.6%,腹膜透析抑郁组患者的生活质量低于非抑郁组(P<0.01);非抑郁组的面对、应对方式总分高于抑郁组(P<0.01),非抑郁组在回避、屈服方面得分低于抑郁组(P<0.01);抑郁与生活质量各维度及面对应对方式呈负相关(P<0.01),与回避、屈服应对方式呈正相关(P<0.01)。多元逐步回归分析显示,家庭人均月收入、躯体角色功能、情绪角色功能、面对、屈服是腹膜透析患者抑郁的主要影响因素(P<0.01或P<0.05)。结论136例腹膜透析患者抑郁发生率为31.6%,家庭经济收入、患者躯体角色功能及情绪角色功能和面对、屈服应对方式是抑郁的主要影响因素,提示护理人员应有针对性地对腹膜透析患者开展心理干预,以改善患者的心理状况。
Objective To understand the depression of peritoneal dialysis patients and discuss its influencing factors. Methods The investigation was conducted among 136 peritoneal dialysis patients with Self-Rating Depression Scale, The MOS 36-item Short Form Health Survey and Medical Coping Modes Questionnaire. Results The incidence of depression reached 31.6% and the quality of life of patients with peritoneal dialysis in depressed group was lower than those in non-depressed group （P〈0.01）. The scores of facing and total coping style in non-depressed group were higher than those of depressed group and the avoidance and resignation scores of non-depressed group were lower than those of depressed group （P〈0.01）. In addition, depression was negatively correlated with each dimension of quality of life and facing while it was positively correlated with avoidance and resignation （P〈0.01）. Multiple stepwise regression analysis showed that economic status, role-physical, role-emotional, facing, resignation were major influencing factors of depression in peritoneal dialysis patients（P〈0.01 or P〈0.05）. Conclusion Since many peritoneal dialysis patients are in the state of depression, nurses should carry out psychological intervention for peritoneal dialysis patients to improve their psychological status.
出处
《护理学报》
2012年第3期1-5,共5页
Journal of Nursing（China）
关键词
腹膜透析
抑郁
生活质量
应对方式
peritoneal dialysis
depression
quality of life
coping style
作者简介
朱利敏（1985-），女，河南安阳人，本科学历，硕士研究生在读。
陈彬（1961-），女，天津人，本科学历，主任护师，硕士研究生导师。
