Depression evaluation in before and after first time hemodialysis in patients with uremia and related factors analysis
10.3969/j.issn.1671-8348.2018.08.016
- VernacularTitle:尿毒症患者首次血液透析前后抑郁评估及相关因素分析
- Author:
Meng ZHAO
1
;
Tingting TAN
;
Yumei CHEN
;
Keming ZHANG
;
Janhua RAN
;
Jinfang LI
Author Information
1. 重庆医科大学附属第二医院神经内科 400010
- Keywords:
uremia;
hemodialysis;
depression;
influencing factor
- From:
Chongqing Medicine
2018;47(8):1061-1063,1073
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the depression status and its influencing factors in the patients with uremia before and after the first time hemodialysis.Methods A total of 177 patients with uremia conducted the questionnaire investigation by using the Hamilton Depression Scale and self-made general information questionnaire.Meanwhile,the laboratory indexes were detected and analyzed.Results At one week before dialysis,35% of the patients had different degrees of depression symptoms,11.9% of the patients had depressive symptoms at 1 week after dialysis;the depression scores before and after dialysis were(14.96 ± 8.37) points and(6.52 ± 3.81)points respectively,the difference was statistically significant(t=16.267,P<0.01).The depression score had statistical difference between the patients with complications and patients without complications(t= -2.528,P=0.013);while the depression scores had no statistical difference among the patients with different sexes,ages,cultural levels,types of original dis-eases,whether smoking and drinking(P<0.01).The Spearman correlation analysis showed that the levels of GLU,Cr and BUN were positively correlated with the depression score,while the levels of TC and Alb were negatively correlated with the depression score,the difference was statistically significant(P< 0.01).Conclusion The evaluation of depression status in hemodialysis pa-tients should be emphasized.
