CAJ | 학술논문

目的：调查与研究终末期肾病患者（ESRD）常见的心理问题，提高患者对血液透析的信任、改善患者的生活质量。方法：2012年6月～2013年3月对株洲市331医院、株洲市二医院、株洲市人民医院、望城县人民医院的100例终末肾病患者进行问卷调查，采用多中心研究方法，对100例血液透析患者采用Zung抑郁自评量表（SDS）、焦虑自评量表（SAS）及终末期肾脏疾病透析患者调查表（KDQOL -SFTM ）进行问卷调查。结果：按照中国常模结果，轻度焦虑及中度焦虑达93％，重度焦虑达7％。抑郁及恐惧患者达87％。结论：血液透析患者易产生焦虑、抑郁及恐惧情绪，并影响他们的生活质量，有必要将心理治疗和躯体治疗有效结合来提高整体治疗效果，减少抑郁和焦虑的发生，改善患者的生活质量。
목적：조사여연구종말기신병환자（ESRD）상견적심리문제，제고환자대혈액투석적신임、개선환자적생활질량。방법：2012년6월～2013년3월대주주시331의원、주주시이의원、주주시인민의원、망성현인민의원적100례종말신병환자진행문권조사，채용다중심연구방법，대100례혈액투석환자채용Zung억욱자평량표（SDS）、초필자평량표（SAS）급종말기신장질병투석환자조사표（KDQOL -SFTM ）진행문권조사。결과：안조중국상모결과，경도초필급중도초필체93％，중도초필체7％。억욱급공구환자체87％。결론：혈액투석환자역산생초필、억욱급공구정서，병영향타문적생활질량，유필요장심리치료화구체치료유효결합래제고정체치료효과，감소억욱화초필적발생，개선환자적생활질량。
Objective :investigate and study the common psychological problems of the patients with end -stage renal disease (ESRD) ,improve the patients'trust to the hemodialysis ,improve the patient's quality of life .Methods:in June 2012 to March 2013 ,we investigated and analyzed 100 cases of terminal kidney disease in our hospitals affiliated to zhuzhou city which are 331 hospital ,Zhuzhou city's hospital ,Zhuzhou city people's hospital , WangCheng city people's hospital .Use the multi -center study methods .100 cases of hemodialysis patients using SDS ,SAS ,KDQOL -SFTM and end-stage kidney disease dialysis is questionnaire survey .Results :According to Chinese norm .Mild anxiety and moderate anxiety was 93% ,Severe anxiety was 7% .87% patients with depression and fear .Conclusion:help patients to overcome the psychological barriers ,increase confidences in treat-ment ,actively cooperate with treatment ,in order to obtain a good dialysis treatment ,improve patient's quality of life ,prolong the survival period .