維持性血液透析患者焦慮抑郁與治療依從性的相關性分析

汪慧智 盧亞飛 鄔燕萍

[摘要] 目的 探討維持性血液透析患者焦慮抑郁與治療依從性的相關性。 方法 選擇2019年1月至2020年7月在我院行維持性血液透析患者60例為調查對象。采用SAS量表及SDS量表對患者焦慮、抑郁情緒進行評價。采用Frankl量表對患者治療依從性進行評價。比較不同焦慮、抑郁程度患者治療依從性評分。分析維持性血液透析患者焦慮、抑郁評分與治療依從性的相關性。 結果 ①無焦慮的患者100.0%治療依從性評分為4分;輕度焦慮有33.3%的患者為4分，28.6%的患者為3分;中度焦慮的患者20.0%評分為4分，30.0%的患者為2分，25.0%的患者為1分;重度焦慮的患者63.6%的患者評分為1分，無4分的患者。不同焦慮程度的患者治療依從性評分比較，差異有統計學意義（P<0.05）。②無抑郁患者85.7%治療依從性分4分，輕度抑郁21.7%評分4分，60.9%評分3分;中度抑郁的患者23.8%評分1分，33.3%評分2分;重度抑郁患者88.9%評分1分，無評分3分及4分的患者。不同抑郁程度患者治療依從性評分比較，差異有統計學意義（P<0.05）。③相關性分析結果顯示，維持性血液透析患者抑郁、焦慮評分與治療依從性評分呈顯著負相關（r=-0.714，-0.797）。 結論 維持性血液透析患者大多存在不同程度的焦慮抑郁情況，并且焦慮抑郁情況與治療依從性呈顯著負相關。

[關鍵詞] 維持性血液透析;焦慮;抑郁;治療依從性

[中圖分類號] R459.9? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 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.