老年维持性血液透析患者抑郁症状及相关变量

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-07-09 DOI:10.1111/jorc.70026

Maurizio Bossola, Laura Angioletti, Alessia Trotta, Valeria Tommolini, Marta Di Giovanni, Ilaria Mariani, Enrico Di Stasio, Michela Balconi

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引用次数: 0

摘要

背景：抑郁症在维持性血液透析的慢性肾病患者中很常见。然而，65岁以上维持性血液透析患者的抑郁患病率和相关变量研究较少。目的本研究旨在确定老年维持性血液透析患者抑郁的患病率及相关变量。这是一项横断面研究。参与者包括2023年9月至2024年9月在意大利招募的197名老年维持性血液透析患者（年龄范围65-80岁）。抑郁水平用贝克抑郁量表II测量，感知压力水平用感知压力量表测量。我们还收集了临床和实验室变量。结果197例患者中，Beck抑郁量表≥14的有130例（66%），≥14的有67例（34%）。两组在年龄、性别、透析年龄、日常生活活动和日常生活工具活动评分、体重指数、透析后疲劳、透析恢复时间、感知压力量表评分和血清肌酐等方面存在差异。经logistic回归分析，贝克抑郁量表评分与女性性别、透析后疲劳、低IADL和感知压力量表评分独立相关。贝克抑郁量表≥14的患者透析后疲劳强度、持续时间、频率及透析后疲劳总和均显著高于贝克抑郁量表≥14的患者。贝克抑郁量表与压力感知量表的相关性有统计学意义。然后根据Cohen’s Perceived Stress Scale评分将患者分为低应激（0-13分）、中度应激（14-26分）、重度应激（27-40分）三组。Beck抑郁量表≥14的患者出现严重感知应激的频率较高。结论老年维持性血液透析患者贝克抑郁量表评分与女性、日常生活工具活动和感知压力量表评分独立相关。

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Symptoms of Depression and Associated Variables in Older Patients on Maintenance Hemodialysis

Background

Depression is common in patients with chronic kidney disease on maintenance hemodialysis. However, depression prevalence and associated variables have been less studied in maintenance hemodialysis patients older than 65 years old.

Objectives

This study aimed to define the prevalence of depression and the associated variables in older patients on maintenance hemodialysis.

Design

This is a cross-sectional study.

Participants

Participants included 197 older patients on maintenance hemodialysis (age range 65–80) recruited between September 2023 to September 2024 in Italy.

Measurements

Depression levels were measured with the Beck Depression Inventory II and perceived stress levels with the Perceived Stress Scale. We also collected clinical and laboratory variables.

Results

Of 197 patients, 130 patients (66%) had Beck Depression Inventory < 14 and 67 (34%) had Beck Depression Inventory ≥ 14. The two groups differed for age, sex, dialytic age, activity of daily living and instrumental activity of daily living scores, Body Mass Index, post-dialysis fatigue, dialysis recovery time, Perceived Stress Scale score, and serum creatinine. At the logistic regression analysis, the Beck Depression Inventory score was independently associated with female sex, post-dialysis fatigue, low IADL, and Perceived Stress Scale score. Post-dialysis fatigue intensity, duration, and frequency and the post-dialysis fatigue sum were significantly higher in patients with Beck Depression Inventory ≥ 14 than in those with Beck Depression Inventory < 14. The correlation between Beck Depression Inventory and Perceived Stress Scale was statistically significant. Then, we stratified patients according to the score of the Cohen's Perceived Stress Scale into three groups: low stress (0–13), moderate stress (14–26), and severe stress (27–40). Patients with Beck Depression Inventory≥ 14 had a higher frequency of severe perceived stress.

Conclusions

Beck Depression Inventory score was independently associated with female sex, instrumental activity of daily living and Perceived Stress Scale score in older patients on maintenance hemodialysis.

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.