Sertoz Ozen Onen, Asci Gulay, Toz Fatma, Duman Soner, Elbi Hayriye, Ok Ercan
Department of Psychiatry, Division of Consultation Liaison Psychiatry, Ege University, School of Medicine, 35100 Bornova-Izmir, Turkey.
Ther Apher Dial. 2009 Aug;13(4):366-72. doi: 10.1111/j.1744-9987.2009.00690.x. Epub 2009 May 26.
We aimed to investigate the impact of social activity on anxiety-depression, self-esteem and quality of life in hemodialysis patients. Ninety-one patients were recruited to the current study. Of these, 31 patients wanted to take part in a theater play, while 60 patients (group C) did not. Thirty-one patients were randomly assigned to two groups: Group A (N = 15) started activities immediately and group B (N = 16) was assigned to a waiting list to be included in the activity of theater acting four months later. Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg Self-esteem Scale and World Health Organization Quality of Life Scale short form (WHOQOL-BREF) were used to compare psychological parameters and quality of life of the groups before and after the social activity. The patients who were younger, more literate, and wealthier, had longer disease duration, and who were feeling physically and psychologically well, were willing to participate in social activity. The impact of social activity was evaluated between group A and C. After the social activity, there were significant differences in terms of depression (P = 0.008), self-esteem (P = 0.003), and physical (P = 0.04) and psychological (P = 0.05) sub-dimensions of quality of life between the groups. The depression score of the patients in group A decreased while their self-esteem increased, but the increase in the physical and psychological sub-dimension scores of quality of life scale did not reach statistical significance. This pilot study showed that social activity primarily improved depression and self-esteem in hemodialysis patients.
我们旨在调查社交活动对血液透析患者焦虑抑郁、自尊及生活质量的影响。91名患者被纳入本研究。其中，31名患者希望参加一场戏剧表演，而60名患者（C组）则不愿意。31名患者被随机分为两组：A组（N = 15）立即开始活动，B组（N = 16）被列入等待名单，四个月后参加戏剧表演活动。使用贝克抑郁量表、贝克焦虑量表、罗森伯格自尊量表和世界卫生组织生活质量量表简表（WHOQOL - BREF）比较社交活动前后各组的心理参数和生活质量。年龄较小、文化程度较高、较富裕、病程较长且身心感觉良好的患者愿意参与社交活动。对A组和C组之间社交活动的影响进行了评估。社交活动后，两组在抑郁（P = 0.008）、自尊（P = 0.003）以及生活质量的生理（P = 0.04）和心理（P = 0.05）子维度方面存在显著差异。A组患者的抑郁评分降低，自尊增加，但生活质量量表生理和心理子维度评分的增加未达到统计学意义。这项初步研究表明，社交活动主要改善了血液透析患者的抑郁和自尊。
