Hemodiyaliz hastalarının depresyon ve algılanan sosyal destek düzeyleri ve etkileyen faktörler incelenmesi

Semra Gündoğdu, F. Arikan, Mehtap Pekesen, Yasemin Yildirim, Fisun Şenuzun Aykar
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Abstract

Aim: The aim of this study is to investigate depression and perceived social support levels and affecting factors in hemodialysis patients Materials and Methods: This descriptive cross section study was conducted hemodialysis patients in two hemodialysis units. Patient identification forms representing the information, Beck Depression Inventory and Multidimensional Scale of Perceived Social Support were used for the data collection. Results: It was found that hemodialysis patients was 44.7% of them had mild level depression, 20.4% of had medium depression and 1.6% of had severe depression. It was also identified that the multidimensional scale of perceived social support score average of hemodialysis patients was 63.91±14.2 The mean friend subscale score of the patients over the age of 60 was found to be low (p<0.05). In our study, the difference in the total BDI score average depending on the hemodialysis patients’gender was statistically detected as significant(p<0.01). The depression level of female patients was higher than that of male patients. There was a significant negative correlation between BDI total score and social support scale (r= -0.225, p= 0.000). Conclusion: In this study, a negative relationship was found between social support and depression. High-risk patients (such as female gender, low education level, unemployed) should be screened for depression. Attempts to strengthen the social support networks of hemodialysis patients will contribute to the reduction of depression.
血液透析患者的抑郁和感知社会支持水平及影响的检查
目的:探讨血透患者抑郁、感知社会支持水平及其影响因素。资料与方法:采用描述性横断面研究对两个血透单位的血透患者进行调查。数据收集采用患者身份识别表、贝克抑郁量表和多维感知社会支持量表。结果:血液透析患者中轻度抑郁占44.7%,中度抑郁占20.4%,重度抑郁占1.6%。血液透析患者感知社会支持多维量表得分平均值为63.91±14.2,60岁以上患者的朋友亚量表得分平均值较低(p<0.05)。在我们的研究中,血液透析患者性别对总BDI评分平均值的差异有统计学意义(p<0.01)。女性患者抑郁程度高于男性患者。BDI总分与社会支持量表呈显著负相关(r= -0.225, p= 0.000)。结论:本研究发现社会支持与抑郁呈负相关。高危患者(如女性、低文化程度、无业)应进行抑郁症筛查。试图加强血液透析患者的社会支持网络将有助于减少抑郁症。
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