肾衰竭与透析中的精神问题
Psychiatric issues in renal failure and dialysis.
作者信息
De Sousa A
机构信息
Consultant Psychiatrist, Get Well Clinic, Mumbai, Maharashtra, India.
出版信息
Indian J Nephrol. 2008 Apr;18(2):47-50. doi: 10.4103/0971-4065.42337.
Abstract
This article aims to bring to the fore, issues regarding the interface of psychiatry and renal failure. Depression, anxiety, suicide and delirium are common complications observed in patients with renal failure. Pharmacological management of these problems need stringent monitoring on part of the psychiatrist. This article examines the various complications that may be observed in patients with renal failure while discussing treatment approaches and also emphasizing the need for interdisciplinary team work in improving the quality of life of patients with renal failure and those on dialysis.
摘要
本文旨在突出精神医学与肾衰竭之间的相关问题。抑郁、焦虑、自杀和谵妄是肾衰竭患者中常见的并发症。精神科医生对这些问题进行药物治疗时需要严格监测。本文探讨了肾衰竭患者可能出现的各种并发症，同时讨论了治疗方法，并强调了跨学科团队合作对于提高肾衰竭患者及透析患者生活质量的必要性。
相似文献
1
Psychiatric issues in renal failure and dialysis.肾衰竭与透析中的精神问题
Indian J Nephrol. 2008 Apr;18(2):47-50. doi: 10.4103/0971-4065.42337.
2
Consultation-liaison psychiatry to renal medicine: work with an inpatient unit.肾内科会诊联络精神病学：与住院部合作。
Aust N Z J Psychiatry. 1996 Apr;30(2):229-37. doi: 10.3109/00048679609076099.
3
[Psychiatric aspects in the starting and ending of chronic dialysis].
Schweiz Med Wochenschr. 1980 May 3;110(18):697-703.
4
[Alpha-interferon and mental disorders].[α-干扰素与精神障碍]
Encephale. 2001 Jul-Aug;27(4):308-17.
5
Psychiatric considerations in the primary medical care of the patient with renal failure.
Adv Ren Replace Ther. 2000 Jul;7(3):231-8. doi: 10.1053/jarr.2000.8132.
6
Resilience in patients with dialysis-dependent renal failure: Evaluation in terms of depression, anxiety, traumatic growths.透析依赖型肾衰竭患者的韧性：从抑郁、焦虑、创伤后成长的角度评估。
Appl Nurs Res. 2022 Jun;65:151575. doi: 10.1016/j.apnr.2022.151575. Epub 2022 Mar 16.
7
Depression, anxiety, body image, sexual functioning, and dyadic adjustment associated with dialysis type in chronic renal failure.慢性肾衰竭患者的透析类型与抑郁、焦虑、身体形象、性功能和对偶调整相关。
Int J Psychiatry Med. 2012;43(3):227-41. doi: 10.2190/PM.43.3.c.
8
[The European Psychiatric Association (EPA) guidance on suicide treatment and prevention].[欧洲精神病学协会（EPA）关于自杀治疗与预防的指南]
Neuropsychopharmacol Hung. 2012 Jun;14(2):113-36.
9
[Psychiatric and psychosocial aspects of chronic renal failure].[慢性肾衰竭的精神和社会心理方面]
Turk Psikiyatri Derg. 2003 Spring;14(1):72-80.
10
Factors associated with quality of life in patients with kidney failure managed conservatively and with dialysis: a cross-sectional study.与保守治疗和透析治疗的肾衰竭患者生活质量相关的因素：一项横断面研究。
BMC Nephrol. 2023 Oct 27;24(1):322. doi: 10.1186/s12882-023-03355-3.
引用本文的文献
1
Suicide risk in patients undergoing hemodialysis: a systematic review and meta-analysis of prevalence.接受血液透析患者的自杀风险：患病率的系统评价与荟萃分析
Ren Fail. 2025 Dec;47(1):2521453. doi: 10.1080/0886022X.2025.2521453. Epub 2025 Jun 26.
2
Shared genetic effect of kidney function on bipolar and major depressive disorders: a large-scale genome-wide cross-trait analysis.肾功能对双相情感障碍和重度抑郁症的共同遗传效应：大规模全基因组跨表型分析。
Hum Genomics. 2024 Jun 11;18(1):60. doi: 10.1186/s40246-024-00627-3.
3
Methodological challenges and biases in the field of cognitive function among patients with chronic kidney disease.慢性肾病患者认知功能领域的方法学挑战与偏差
Front Med (Lausanne). 2023 Aug 9;10:1215583. doi: 10.3389/fmed.2023.1215583. eCollection 2023.
4
Effects of Psychotherapy on Quality of Life in End-stage Renal Disease Patients: A Systematic Review with Meta-analysis.心理治疗对终末期肾病患者生活质量的影响：一项荟萃分析的系统评价
Oman Med J. 2022 May 31;37(3):e383. doi: 10.5001/omj.2021.88. eCollection 2022 May.
5
Management of Psychiatric Disorders in Patients with Chronic Kidney Diseases.慢性肾脏病患者精神障碍的管理
Indian J Psychiatry. 2022 Mar;64(Suppl 2):S394-S401. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1016_21. Epub 2022 Mar 23.
6
Prevalence of Mental Disorders in a German Kidney Transplant Population: Results of a KTx360°-Substudy.德国肾移植人群中心理障碍的患病率：KTx360°子研究结果。
J Clin Psychol Med Settings. 2022 Dec;29(4):963-976. doi: 10.1007/s10880-022-09861-0. Epub 2022 Feb 23.
7
Association between Dialysis Adequacy and Cognition in Patients with Peritoneal Dialysis.腹膜透析患者透析充分性与认知功能的关联
Psychiatry Investig. 2020 Nov;17(11):1143-1148. doi: 10.30773/pi.2020.0279. Epub 2020 Nov 18.
8
Neuropsychiatric Disorders in Chronic Kidney Disease.慢性肾脏病中的神经精神障碍
Front Pharmacol. 2019 Aug 16;10:932. doi: 10.3389/fphar.2019.00932. eCollection 2019.
9
Associated factors for depressive disorder in patients with end-stage renal disease treated with continuous ambulatory peritoneal dialysis.接受持续性非卧床腹膜透析治疗的终末期肾病患者抑郁症的相关因素。
Ther Clin Risk Manag. 2019 Apr 1;15:541-548. doi: 10.2147/TCRM.S186394. eCollection 2019.
10
Chronic dialysis in patients with end-stage renal disease: Relevance to kidney xenotransplantation.终末期肾病患者的慢性透析：与肾脏异种移植的相关性。
Xenotransplantation. 2019 Mar;26(2):e12471. doi: 10.1111/xen.12471. Epub 2018 Nov 20.
本文引用的文献
1
Depression in chronic haemodialysed patients.
Nephrology (Carlton). 2003 Jun;8(3):121-6. doi: 10.1046/j.1440-1797.2003.00147.x.
2
Comparative pharmacokinetics and pharmacodynamics of short-acting hypnosedatives: zaleplon, zolpidem and zopiclone.短效催眠镇静剂的比较药代动力学和药效学：扎来普隆、唑吡坦和佐匹克隆。
Clin Pharmacokinet. 2004;43(4):227-38. doi: 10.2165/00003088-200443040-00002.
3
Geriatric nephrology is coming of age.老年肾脏病学正在走向成熟。
J Am Soc Nephrol. 2003 Apr;14(4):1099-101. doi: 10.1097/01.asn.0000067656.48829.0e.
4
Depression in patients with chronic renal disease: what we know and what we need to know.慢性肾病患者的抑郁症：我们所知与我们需知的情况
J Psychosom Res. 2002 Oct;53(4):951-6. doi: 10.1016/s0022-3999(02)00310-0.
5
Quality of life in end-stage renal disease patients.终末期肾病患者的生活质量。
Am J Kidney Dis. 2001 Sep;38(3):443-64. doi: 10.1053/ajkd.2001.26824.
6
Citalopram pharmacokinetics in patients with chronic renal failure and the effect of haemodialysis.慢性肾衰竭患者中舍曲林的药代动力学及血液透析的影响
Eur J Clin Pharmacol. 2000 Dec;56(9-10):699-703. doi: 10.1007/s002280000205.
7
Efficacy of venlafaxine in geriatric depression.文拉法辛治疗老年抑郁症的疗效
Depress Anxiety. 2000;12 Suppl 1:63-8. doi: 10.1002/1520-6394(2000)12:1+<63::AID-DA8>3.0.CO;2-T.
8
Psychiatric considerations in the primary medical care of the patient with renal failure.
Adv Ren Replace Ther. 2000 Jul;7(3):231-8. doi: 10.1053/jarr.2000.8132.
9
Clinical pharmacokinetics of mirtazapine.米氮平的临床药代动力学
Clin Pharmacokinet. 2000 Jun;38(6):461-74. doi: 10.2165/00003088-200038060-00001.
10
Pharmacokinetics of haloperidol: an update.氟哌啶醇的药代动力学：最新进展。
Clin Pharmacokinet. 1999 Dec;37(6):435-56. doi: 10.2165/00003088-199937060-00001.
Zotero 插件