Analysis Of Psychological Status And Related Factors Of Hemodialysis Patients

ObjectiveTo evaluate the mental health status of patients with maintenance hemodialysis (hemodialysis Maintenance, MHD), and to provide a scientific basis for improving the mental health level of patients with MHD.MethodsIn March 2014 to 2015 March in nephrology department in our hospital blood through the center for more than 3 months of chronic renal failure patients,68 cases of patients received hemodialysis therapy, end-stage renal failure patients, have certain communic-ation ability, consciousness is clear and can accept and cooperate with relevant investigations to exclude brain trauma, brain tumor, confusion or have a personality disorder who, this study subjected to try persons and their families agree, this group of patients (MHD group).68 healthy volunteers who received physical examination in our hospital during the same period as the control group were all without mental history or similar family history.With the general situation of the personnel of two groups of self-made questionnaire survey, and application (self rating Depression Scale (SDS) and self rating depression scale, self rating Anxiety Scale (SAS) and self rating Anxiety Scale (SAS) and (the the short Form-36 Health Survey, SF-36) 36 item health survey questionnaire on the were assessed using the symptom self rating scale of measurement of two groups of patients with mild mental disorders and the table total score for the dependent variable analysis of the factors that may influence in MHD patients psychological health status, and to carry out blood routine, biochemical and thyroid side gland induced and check.ResultsThere were no significant differences in age, gender, education level, occupation and economic status of the two groups (P>0.05). The total score of MHD was (54.6+11.77), the incidence of depression was 60.29%(41/68),19 cases of mild depression,27.94% cases,16 cases of moderate depression,23.53% cases of severe depression,6 cases, accounting for 8.82%. Control group SDS score was (40.94+9.19), the incidence of depression was 8.82%(6/68),5 cases of mild depression, accounting for 1,7.35% cases of moderate depression, accounting for 1.47%, no severe depression. The total scores of SDS and depression in MHD group were significantly higher than those in control group, the difference was statistically significant (P< 0.05). The total score of MHD was (44.99+ 9.55), the incidence of anxiety was 33.82%(23/68),18 cases of mild anxiety,26.47% cases,4 cases of moderate anxiety,1 cases of severe anxiety,1.47% cases, accounting for 5.88%. Control group SAS score was (38.04+8.10), the incidence of anxiety was 8.82% (6/68),4 cases of mild anxiety, accounting for 5.88%,2 cases of moderate anxiety, accounting for 2.94%, no severe anxiety. The total scores of SAS and anxiety in the MHD group were significantly higher than those in the control group, the difference was statistically significant (P< 0.05).The results of SF-36 MHD showed that the physiological function, physical pain, mental health, energy, social function and mental health of the patients were significantly lower than the control group, the difference was statistically significant (P< 0.05). The physiological function of the patients in MHD group was lower than that in control group, but the difference was not statistically significant (P> 0.05). The total score of symptoms in MHD group was (2.13+0.27), the control group was (1.48+0.19), the difference was statistically significant (P<0.05).The results showed that the group was significantly higher than the control group in the scores of somatic, obsessive, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoid and psychotic, and the difference was statistically significant (P<0.05) in the MHD group.The results showed that the 19 factors, which could affect the mental health status of patients with MHD, were linear regression analysis. The results showed that the age, culture level, economic status, serum creatinine, hemoglobin content, urea clearance index and weight were significantly correlated.ConclusionThe blood dialysis patients are widespread depression, anxiety and other psychological disorders; Age, complications, and family economic conditions significantly associated with hemodialysis patients psychological status; Dialysis treatment and psychological factors will influence quality of life in hemodialysis patients.