Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis.
Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis.
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DOI：
10.2147/ijgm.s406535
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发表时间：
2023
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
尽管全世界越来越关注慢性肾病 (CKD) 的生活质量 (QoL) 和心理健康，但仍进行了一些研究来解决这个问题。该研究旨在衡量约旦终末期肾病 (ESRD) 血液透析患者的抑郁、焦虑和生活质量患病率，以及所有这些变量之间的相关性。这是一项针对约旦大学医院 (JUH) 透析室患者的横断面访谈研究。收集社会人口统计学因素，并分别使用患者健康问卷 9 (PHQ9)、广泛性焦虑症 7 项 (GAD7) 和 WHOQOL-BREF 评估抑郁症、焦虑症和生活质量的患病率。在一项针对 66 名患者的研究中，92.4% 的患者患有抑郁症，83.3% 的患者患有广泛性焦虑症。女性的抑郁评分显着高于男性（平均值 = 6.2 ± 3.77 vs 2.9 ± 2.8，p < 0.001），单身患者的焦虑评分显着高于已婚患者（平均值 = 6.1 ± 6 vs 2.9 ± 3.5，p = 0.03）。年龄与抑郁评分呈正相关（rs=0.269，p=0.03），QOL 领域与 GAD7 和 PHQ9 评分呈间接相关。男性的身体功能得分高于女性（平均值 = 64.82 vs 58.87，p = 0.016），在大学学习的患者比仅受过学校教育的患者具有更高的身体功能得分（学院/大学的平均值 = 78.81 vs 学校教育的平均值 = 66.46，p = 0.046）。服用 <5 种药物的患者在环境领域得分较高 (p = 0.025)。接受透析的 ESRD 患者抑郁症、GAD 和低生活质量的患病率很高，这凸显了护理人员需要为这些患者及其家人提供心理支持和咨询。这可以促进心理健康并预防心理障碍的发生。
Despite the growing concern worldwide regarding the quality of life (QoL) and mental well-being among chronic kidney disease (CKD), a few research has been done to address this issue. The study aims to measure depression, anxiety, and QoL prevalence among Jordanian patients with End Stage Renal Disease (ESRD) on hemodialysis and how all of these variables are correlated. This is a cross-sectional, interview-based study on patients at the Jordan University Hospital (JUH) dialysis unit. Sociodemographic factors were collected, and the prevalence of depression, anxiety disorder, and QOL was assessed using the Patient Health Questionnaire 9 (PHQ9), the Generalized Anxiety Disorder 7-item (GAD7), and the WHOQOL-BREF, respectively. In a study of 66 patients, 92.4% had depression, and 83.3% had generalised anxiety disorder. Females had significantly higher depression scores than males (mean = 6.2 ± 3.77 vs 2.9 ± 2.8, p < 0.001), and single patients had significantly higher anxiety scores than married patients (mean = 6.1 ± 6 vs 2.9 ± 3.5, p = 0.03). Age was positively correlated with depression scores (rs= 0.269, p = 0.03), and QOL domains showed an indirect correlation with GAD7 and PHQ9 scores. Males had higher physical functioning scores than females (mean = 64.82 vs 58.87, p = 0.016), and patients who studied in universities had higher physical functioning scores than those with only school education (mean of College/University = 78.81 vs mean of School Education = 66.46, p = 0.046). Patients taking <5 medications had higher scores in the environmental domain (p = 0.025). The high prevalence of depression, GAD, and low QOL in ESRD patients on dialysis highlights the need for caregivers to provide psychological support and counselling for these patients and their families. This can promote psychological health and prevent the onset of psychological disorders.
影响因子：
7.8
作者：
Bouali, W.;Gniwa, R. Omezzine;Ben Soussia, R.;Mohamed, A. Hadj;Zarrouk, L.
通讯作者：
Zarrouk, L.
影响因子：
6
作者：
Muthukumaran A;Natarajan G;Thanigachalam D;Sultan SA;Jeyachandran D;Ramanathan S
通讯作者：
Ramanathan S