慢性肾病患者和肾移植受者的情绪困扰评估。
Assessment of emotional distress in chronic kidney disease patients and kidney transplant recipients.
作者信息
González-De-Jesús Lorena N, Sánchez-Román Sofía, Morales-Buenrostro Luis E, Ostrosky-Solís Feggy, Alberú Josefina, García-Ramos Guillermo, Marino-Vázquez Lluvia A, McClintock Shawn M
机构信息
Departamento de Neurología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México.
出版信息
Rev Invest Clin. 2011 Nov-Dec;63(6):558-63.
OBJECTIVE
To assess the presence of emotional distress in patients with chronic kidney disease (CKD), and the effect of kidney transplant on these symptoms.
MATERIAL AND METHODS
This was a two-part study. Part one was cross-sectional, observational, and descriptive, where 75 patients with CKD were evaluated for emotional distress with the Hospital Anxiety and Depression Scale (HAD) and the Symptom Checklist 90 (SCL-90). In part two, we longitudinally followed 19% of the study cohort to examine symptomatological changes after their kidney transplantation.
RESULTS
The results of the HAD indicated that 30.7% of the study cohort with End-Stage Renal Disease (ESRD) showed anxious symptoms, and 25.3% showed depressive symptoms. The change in the HAD total score before and after kidney transplant was not significant. However, a significant decrease in total score on the SCL-90 was observed before and after transplantation.
CONCLUSION
Improvement on emotional distress was found after kidney transplantation.
目的
评估慢性肾脏病（CKD）患者中情绪困扰的存在情况，以及肾移植对这些症状的影响。
材料与方法
这是一项分为两部分的研究。第一部分为横断面、观察性和描述性研究，使用医院焦虑抑郁量表（HAD）和症状自评量表90（SCL - 90）对75例CKD患者的情绪困扰进行评估。在第二部分中，我们对19%的研究队列进行纵向随访，以检查他们肾移植后的症状变化。
结果
HAD结果表明，30.7%的终末期肾病（ESRD）研究队列表现出焦虑症状，25.3%表现出抑郁症状。肾移植前后HAD总分的变化不显著。然而，移植前后SCL - 90总分有显著下降。
结论
肾移植后情绪困扰有所改善。
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