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首页> 外文期刊>Sao Paulo Medical Journal >Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study
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Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study

机译：经历透析和肾移植患者的抑郁和焦虑：横截面研究

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BACKGROUND: Depression and anxiety are the most prevalent psychological disorders among end-stage renal disease patients and are associated with various conditions that result in poorer health outcomes, e.g. reduced quality of life and survival. We aimed to investigate the prevalences of depression and anxiety among patients undergoing renal replacement therapy. DESIGN AND SETTING: Cross-sectional study in Belo Horizonte, Brazil. METHODS: Patients’ depression and anxiety levels were assessed using the Beck Inventory. The independent variables were the 36-Item Short-Form Health Survey (SF-36), Charlson Comorbidity Index and Global Subjective Assessment, along with sociodemographic and clinical characteristics. RESULTS: 205 patients were included. Depression and anxiety symptoms were detected in 41.7% and 32.3% of dialysis patients and 13.3% and 20.3% of transplantation patients, respectively. Lower SF-36 mental summary scores were associated with depression among transplantation patients (odds ratio, OR: 0.923; 95% confidence interval, CI: 0.85-0.99; P = 0.03) and dialysis patients (OR: 0.882; 95% CI: 0.83-0.93; P ≤ 0.001). Physical component summary was associated with depression among dialysis patients (OR: 0.906; 95% CI: 0.85-0.96; P = 0.001). Loss of vascular access (OR: 3.672; 95% CI: 1.05-12.78; P = 0.04), comorbidities (OR: 1.578; 95% CI: 1.09-2.27; P = 0.01) and poorer SF-36 mental (OR: 0.928; 95% CI: 0.88-0.97; P = 0.002) and physical (OR: 0.943; 95% CI: 0.89-0.99; P = 0.03) summary scores were associated with anxiety among -dialysis patients. CONCLUSIONS: Depression and anxiety symptoms occurred more frequently among patients undergoing dialysis. Quality of life, comorbidities and loss of vascular access were associated factors.
机译：背景：抑郁症和焦虑是最常见的心理障碍，末期肾病患者，与较差的健康成果导致的各种条件有关，例如，减少生活质量和生存。我们的目标是调查肾置换疗法患者抑郁和焦虑的患病。设计与环境：巴西贝洛·哈米塔州的横截面研究。方法：使用Beck库存评估患者的抑郁和焦虑水平。独立变量是36项的短型健康调查（SF-36），Charlson合并症指数和全球主观评估以及社会血统和临床特征。结果：包括205名患者。在41.7％和32.3％的透析患者中​​检测到抑郁和焦虑症状，分别检测到32.3％和13.3％和20.3％的移植患者。降低的SF-36心理概要分数与移植患者的抑郁症（或0.923; 95％置信区间，CI：0.85-0.99; P = 0.03）和透析患者（或：0.882; 95％CI：0.83 -0.93;p≤0.001）。物理成分摘要与透析患者（或：0.906; 95％CI：0.85-0.96; p = 0.001）相关的抑郁症相关。血管进入丧失（或：3.672; 95％CI：1.05-12.78; P = 0.04），合并症（或：1.578; 95％CI：1.09-2.27; P = 0.01）和较差的SF-36心理（或：0.928 ; 95％CI：0.88-0.97; p = 0.002）和物理（或：0.943; 95％CI：0.89-0.99; p = 0.03）摘要分数与 - 焦虑患者患有焦虑。结论：透析患者患者发生抑郁症和焦虑症状。生活质量，血管接入的丧失和血管接入丧失是相关因素。

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