在加纳库马西接受血液透析治疗的终末期肾病患者的社会心理因素

Amoako Thomas Nti, Owusu-Ansah Frances Emily
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引用次数: 1

摘要

背景:终末期肾病及其维持性血液透析治疗迫使患者改变生活方式以应对这种使人衰弱的疾病。这些变化常常引发显著的心理困扰和抑郁症状。此外,这些消极的心理体验会破坏治疗的效果,从而恶化患者的健康和生活质量。目的:了解库马西市血液透析患者的心理健康状况。此外,它还探讨了这些社会心理因素与人口特征之间的关系。材料和方法:从加纳库马西的两个透析单位招募30名血液透析患者。参与者年龄在18岁及以上,接受血液透析治疗超过三个月。采用医院焦虑抑郁量表(HADS)评估参与者的抑郁和焦虑,采用感知社会支持多维量表评估参与者的感知社会支持。结果:大多数受访者为男性(60%),相对于女性。研究显示,80%的人严重抑郁,20%的人符合严重焦虑的标准。部分参与者的社会支持程度为中等,占53.3%;感知到的社会支持与两种抑郁症呈负相关(r = -0.41;N = 30;P < 0.05)和焦虑(r = -0.59;N = 30;P < 0.05)。收入水平与抑郁呈负相关(r = -0.41, n = 30;P < 0.05)。结论:研究结果提示血液透析患者的心理健康受到损害。社会支持似乎可以减轻抑郁和焦虑。讨论了对患者治疗的影响。
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Psychosocial factors among end-stage kidney disease patients receiving hemodialysis treatment in Kumasi, Ghana
Background: End-Stage Kidney Disease and its maintenance hemodialysis treatment force patients to make several lifestyle changes to cope with this debilitating illness. These changes often trigger the onset of notable psychological distress and depressive symptoms. Furthermore, these negative psychological experiences can undermine the effectiveness of the treatment and consequently worsening the health and quality of life of patients. Objective: The study assessed the psychological well-being among hemodialysis patients in Kumasi Metropolis. Further, it explored the relationship between these psychosocial factors and demographic characteristics. Materials and Methods: 30 hemodialysis patients were recruited from two dialysis units in Kumasi, Ghana. Participants were aged 18 and above and had been on hemodialysis treatment for more than three months. The Hospital Anxiety and Depression scale (HADS) was used to assess depression and anxiety whiles the Multidimensional Scale of Perceived Social Support was used to assess perceived social support of participants. Results: The majority of respondents were males (60%), relative to females. The study revealed that 80% were severely depressed, 20% met the criteria for severe anxiety. Some participants reported moderate social support 53.3%; perceived social support being inversely correlated with both depression (r = -0.41; n = 30; p < 0.05) and anxiety (r = -0.59; n = 30; p < 0.05). Income levels were inversely correlated with depression (r = -0.41, n = 30; p < 0.05). Conclusion: Findings of the study suggest that the psychological wellbeing of hemodialysis patients is compromised. Social support appears to alleviate depression and anxiety. Implications for patient treatment are discussed.
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