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首页> 外文期刊>Clinical nephrology >Patient perceived barriers to treatment of depression and anxiety in hemodialysis patients.
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Patient perceived barriers to treatment of depression and anxiety in hemodialysis patients.

机译：病人认为血液透析病人抑郁和焦虑症的治疗障碍。

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Untreated psychiatric illness correlates with increased mortality, reduced quality of life and increased risk of suicide in renal failure patients, but little is known about why these patients fail to seek mental health care. The purpose of this study was to identify the perceived barriers to mental health services in the hemodialysis patient population. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were used to identify the prevalence and severity of depression and anxiety in a group of 179 hemodialysis patients. Of the 103 patients who completed the surveys, 73.8% were African-American and 62.1% were male. Of the 54.4% of patients identified with depression by scoring 10 or greater on the BDI, 34.0% had mild-to-moderate, 12.6% had moderate-to-severe, and 7.8% had severe depression. Only 13.6% of respondents met criteria for anxiety. Each patient was asked to choose from a list of possible barriers, and 71.4% of patients meeting criteria for depression or anxiety identified a barrier to mental health treatment. Of these, over 70% of patients were unaware of symptoms of depression/ anxiety or did not perceive the need for help. Our results indicate a high prevalence of untreated depression in hemodialysis patients. Patient perceptions of the need for therapy present the most significant barriers to identification and treatment.
机译：未经治疗的精神疾病与肾衰竭患者的死亡率增加，生活质量下降和自杀风险增加有关，但对于为什么这些患者未能寻求心理保健的了解甚少。这项研究的目的是确定血液透析患者人群中对心理健康服务的感知障碍。使用Beck抑郁量表（BDI）和Beck焦虑量表（BAI）来确定179名血液透析患者中​​抑郁和焦虑的发生率和严重程度。在完成调查的103位患者中，非裔美国人占73.8％，男性占62.1％。在BDI得分为10或更高的54.4％的抑郁症患者中，轻度至中度占34.0％，中度至重度占12.6％，重度抑郁症占7.8％。只有13.6％的受访者符合焦虑标准。要求每位患者从可能的障碍中进行选择，并且满足抑郁或焦虑标准的71.4％的患者确定了心理健康治疗的障碍。在这些患者中，超过70％的患者没有意识到抑郁/焦虑症状或没有意识到需要帮助。我们的结果表明血液透析患者未经治疗的抑郁症患病率很高。患者对治疗需求的看法是鉴定和治疗的最大障碍。

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