El Filali Abdelilah, Bentata Yassamine, Ada Naima, Oneib Bouchra
Department of Psychiatry, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
Department of Nephrology, Faculty of Medicine, CHU Mohammed VI, University Mohammed I, Oujda, Morocco.
Saudi J Kidney Dis Transpl. 2017 Mar-Apr;28(2):341-348. doi: 10.4103/1319-2442.202785.
Hemodialysis (HD) has a severe impact on the life of HD patients. The aim of this work was to assess the prevalence of depression and anxiety disorders, suicidal ideation, and the quality of life among HD patients. Associated factors were also studied. A cross-sectional study was carried out among 103 HD patients treated at the HD Center of Al Farabi Hospital of Oujda during a period of six months in 2015. The Mini-International Neuropsychiatric Interview and European Quality of Life-5 Dimensions (EQ-5D) were used for the assessment. Major depressive episode (MDE) was found in 34% of our patients, whereas anxiety disorder was observed in 25.2%. Suicidal ideation was found in 16.5% and 1.9% of our patients planned their suicide. The EQ-5D index was 0.41 ± 0.36 and the EQ-Visual Analog Scale score was 45.73 ± 14. Multivariate analysis showed that MDEs were associated with three factors: marital status, pain, and anxiety disorder. There was also an association between anxiety disorder and age and EQ-Visual Analog Scale score. Suicidal ideation was associated with marital status and anxiety disorders. Together, these results underline the importance of the collaboration between nephrologists and psychiatrists for a better care of HD patients.
血液透析（HD）对HD患者的生活有严重影响。这项工作的目的是评估HD患者中抑郁症和焦虑症的患病率、自杀意念以及生活质量。还研究了相关因素。2015年，在六个月的时间里，对乌季达法拉比医院血液透析中心治疗的103名HD患者进行了一项横断面研究。采用迷你国际神经精神病学访谈和欧洲生活质量五维度量表（EQ - 5D）进行评估。我们的患者中有34%被发现患有重度抑郁发作（MDE），而焦虑症的发生率为25.2%。16.5%的患者有自杀意念，1.9%的患者计划自杀。EQ - 5D指数为0.41±0.36，EQ视觉模拟量表评分为45.73±14。多变量分析表明，MDE与三个因素相关：婚姻状况、疼痛和焦虑症。焦虑症还与年龄和EQ视觉模拟量表评分有关。自杀意念与婚姻状况和焦虑症有关。总之，这些结果强调了肾病学家和精神科医生合作以更好地照顾HD患者的重要性。
