Andrade Sibela Vasconcelos, Sesso Ricardo, Diniz Denise Helena de Madureira Pará
Universidade Federal de São Paulo, Brasil.
J Bras Nefrol. 2015 Jan-Mar;37(1):55-63. doi: 10.5935/0101-2800.20150009.
Hopelessness, suicide ideation and depression symptoms affect life quality and expectancy of chronic kidney disease patients.
To verify whether there are differences in hopelessness, suicide ideation and depression symptoms between chronic kidney disease patients on hemodialysis or transplant recipients. We also analyzed the influence of sociodemographic factors in these symptoms.
Cross-sectional study in which 50 clinically stable chronic hemodialysis patients and 50 renal transplant patients matched by gender and age. Instruments-Beck Hopelessness Scale (BHS), Beck Scale for Suicide Ideation (BSI) and Beck Depression Inventory (BDI).
BHS: 2% of each group scoring > 8 (p = 1.00). BSI: 4% in hemodialysis and 6% of the transplant patients scoring > 1 (p = 1.000). BDI: 20% in hemodialysis and 12% of transplant patients scoring > 14 (p = 0.275). Patients who did not have a labor activity presented more depressive symptoms (average BDI score: 10.5 vs. 7.3, p = 0.027). Transplant patients from deceased donor presented more depressive symptoms compared with those with transplant from living donors (average BDI score: 11.0 vs. 6.7, p = 0.042).
There was no difference in the intensity of hopelessness, suicide ideation and depression symptoms between stable hemodialysis and transplant patients. Not performing a labor activity and receiving the transplant from deceased donor lead to more depressive symptoms. The high prevalence of depressive symptoms and the finding of suicide ideation in both modalities of renal replacement therapy point to the need to monitor and care for those patients.
绝望、自杀意念和抑郁症状会影响慢性肾病患者的生活质量和预期寿命。
验证接受血液透析的慢性肾病患者与肾移植受者在绝望、自杀意念和抑郁症状方面是否存在差异。我们还分析了社会人口学因素对这些症状的影响。
进行横断面研究，选取50例临床稳定的慢性血液透析患者和50例按性别和年龄匹配的肾移植患者。使用的工具包括：贝克绝望量表（BHS）、贝克自杀意念量表（BSI）和贝克抑郁量表（BDI）。
贝克绝望量表：每组2%的患者得分>8（p = 1.00）。贝克自杀意念量表：血液透析患者中4%、肾移植患者中6%得分>1（p = 1.000）。贝克抑郁量表：血液透析患者中20%、肾移植患者中12%得分>14（p = 0.275）。没有工作活动的患者表现出更多的抑郁症状（贝克抑郁量表平均得分：10.5对7.3，p = 0.027）。与活体供肾移植患者相比，接受尸体供肾移植的患者表现出更多的抑郁症状（贝克抑郁量表平均得分：11.0对6.7，p = 0.042）。
稳定的血液透析患者和肾移植患者在绝望、自杀意念和抑郁症状的严重程度上没有差异。没有工作活动以及接受尸体供肾移植会导致更多的抑郁症状。在两种肾脏替代治疗方式中，抑郁症状的高患病率以及自杀意念的发现表明需要对这些患者进行监测和护理。
