慢性肾功能不全患者情感障碍现状的研究分析(1)
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【摘要】 目的 了解慢性肾功能不全患者情感障碍与肾功能正常人群的现状差别。方法 120例慢性肾脏病患者分为肾功能正常组及慢性肾功能不全组,进行SAS、SDA及SCL-90量表测评。结果 ①慢性肾功能不全组焦虑和抑郁评分均高于肾功能正常组(P<0.01),抑郁及焦虑发生率均高于肾功能正常组(P<0.01);②慢性肾功能不全组除强迫、精神病性、偏执外,在躯体化、人际关系、抑郁、焦虑、恐怖、敌对性上均与肾功能正常组存在差异(P<0.01)。结论 慢性肾功能不全患者情感障碍及心理问题远较肾功能正常人群为高,要及时发现慢性肾功能不全患者的不良心理反应,做好心理疏导。
【关键词】 慢性肾功能不全;情感障碍;抑郁;焦虑
Study of Affective Disorder in Patients with Chronic Renal Insufficiency
ZHU Feng,LI Jun-ling,WANG Lin.
Department of Renal medcine,XinHua Hospital aftiliated Dalian University.Dalian 116001,China
【Abstract】 ObjectiveTo understand the difference of affective disorder in patients between chronic renal insufficiency and normal renal function.MethodsIt,s a cross-section survey.120 hospitalized patientswere divided into normal renal function group and chronic renal insufficiency group. Self-Rating Anxiety Scale(SAS),Self-Rating Depressing Scale(SDS) andSCL-90 measuring scale were administrated to these hospitalized patients.Results①Anxiety and depressing score in chronic renal insufficiency group were significantly higher than those in normal renal function groupP<0.01). Athymia and anxiety incidence in chronic renal insufficiency group were significantly higher than those in normal renal function group(P<0.01).②Except constraint, bedlam and paranea, the difference ofsomatization, interpersonal relationship, anxiety, phobophobia and rivalry between normal renal function group and chronic renal insufficiency group were significant(P<0.01).ConclusionPatients with chronic renal insufficiency have a higher incidence of affective disorderincluding anxiety and depressing than patients with normal renal function. Besides treating body disease, we should promptly discover unhealthy psychic reaction in patients with chronic renal insufficiency and enforce psychotherapy.
【Key words】Chronic renal insufficiency; Affective disorder; Depression; Anxiety
随着医学模式向生物-心理-社会模式的转变,人们已经逐渐认识到要重视躯体疾病对患者的心理不良影响。慢性肾功能不全疾病无法逆转,治疗时间漫长,给患者带来极大困扰,有相当比例的患者出现心理问题,往往集中在焦虑和抑郁上。本研究运用SAS、SDS及SCLL-90量表,分析慢性肾功能不全患者的心理状况及情绪障碍,旨在为慢性肾功能不全患者的心理健康教育和制定相应的干预对策提供一定的临床依据 ......
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