Cantekin Işın, Curcani Mehtap, Tan Mehtap
Department of Medical Nursing, Health Sciences Faculty, Meliksah University , Kayseri , Turkey and.
Ren Fail. 2014 Jun;36(5):678-81. doi: 10.3109/0886022X.2014.890009. Epub 2014 Mar 3.
This study aimed to characterize the onset of psychopathological manifestations before dialysis in patients with chronic renal disease, thus contributing to the nursing care of these patients.
A total of 120 patients registered at the Atatürk University Medical School who fulfilled the eligibility criteria and provided informed consent were included in this study.
The majority of the participants, 63.4% were female, 50.0% were 39 years of age or older, 70.0% were married, 80.0% had no current occupation, 56.7% were high school graduates, and 48.3% did not know the cause of their disease. As indicated, 35.0% of the subjects had a depression score over the threshold level, with an average score of 8.53 ± 2.45, while patients with scores over the threshold for anxiety made up 53.4%, with an average score of 11.45 ± 3.56.
This study shows the presence of psychopathological problems before patients are started on dialysis. Therefore, nurses may alleviate pre-dialysis patients' fears and provide the necessary support to cope with anxiety and depression, thereby raising the patients' quality of life.
本研究旨在描述慢性肾病患者透析前心理病理表现的发病情况,从而为这些患者的护理工作提供帮助。
本研究纳入了120名在阿塔图尔克大学医学院登记注册、符合入选标准并签署知情同意书的患者。
大部分参与者为女性,占63.4%;50.0%的患者年龄在39岁及以上;70.0%已婚;80.0%目前无工作;56.7%为高中毕业生;48.3%不知道自己患病的原因。如所示,35.0%的受试者抑郁评分超过阈值水平,平均分为8.53±2.45,而焦虑评分超过阈值的患者占53.4%,平均分为11.45±3.56。
本研究表明患者在开始透析前就存在心理病理问题。因此,护士可以减轻透析前患者的恐惧,并提供应对焦虑和抑郁所需的支持,从而提高患者的生活质量。