Objective:To investigate the suicidal ideation and its influencing factors in patients with uremia.Methods:The General In-formation Questionnaire,Self-Rating Idea of Suicide Scale(SIOSS),the Resilience Scale,Perceived Social Support Scale,and Hamil-ton Depression Scale were used to investigate 180 uremia patients hospitalized in nephrology department in our hospital from July 2016 to December 2016.Results:The total score of suicidal ideation in uremia patients was(8.67 ± 2.79),29 patients(16.1%)had suicidal ideation.The total scores of social support,depression,and psychological resilience were(58.01 ± 15.49),(10.65 ± 5.94), and(49.97 ± 13.46)respectively.There were statistically significant differences in education level,marital status,family average monthly income,whether or not complicating with other serious diseases,and whether having a willingness on kidney transplantation (P<0.05).Multiple linear regression analysis showed that family average monthly income,whether or not with other serious disea-ses,whether having a willingness on kidney transplantation,depression status,and psychological resilience had an impact on the total score of the patients' suicidal ideation.Conclusions:The score of suicidal ideation in patients with uremia was generally high,which should be paid attention to by medical staff,especially for uremic patients with depressive tendencies,low level of psychological resili-ence,poor family economic conditions,and complicating with other serious diseases.Renal transplantation should be promoted vigor-ously in uremia patient,and suicidal behavior should be prevented and dealt with more practically and directly in uremic patients.%[目的]调查尿毒症病人自杀意念及其影响因素.[方法]采用一般情况调查表、自杀意念自评量表、心理韧性量表、领悟社会支持量表、汉密尔顿抑郁量表,于2016年7月-12月对我院肾脏内科住院的180例尿毒症病人进行调查.[结果]尿毒症病人自杀意念评分为(8.67 ± 2.79)分,其中有自杀意念者29例(16.1%);尿毒症病人社会支持、抑郁及心理韧性总分分别为(58.01 ± 15.49)分、(10.65 ± 5.94)分、(49.97 ± 13.46)分;不同文化程度、婚姻状况、家庭平均月收入、是否合并其他严重疾病及是否有肾移植意愿差异有统计学意义(均 P<0.05),多元线性回归分析显示家庭平均月收入、是否合并其他严重疾病、是否有肾移植意愿、抑郁状况及心理韧性对病人自杀意念总分有影响.[结论]尿毒症病人自杀意念评分普遍较高,医务人员应特别关注有抑郁倾向、心理韧性水平较低、家庭经济状况较差及合并有其他严重疾病的尿毒症病人,并大力提倡病人进行肾移植,切实和有针对性地预防和应对尿毒症病人出现自杀行为.
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