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抑郁症与慢性肾透析患者:相关因素。

Depression and chronic renal patients on hemodialysis: associated factors.

机构信息

Universidade Regional do Noroeste do Estado do Rio Grande do Sul, Ijuí, Rio Grande do Sul, Brazil.

出版信息

Rev Bras Enferm. 2020;73 Suppl 1:e20190167. doi: 10.1590/0034-7167-2019-0167. Epub 2020 Jun 1.

Abstract

OBJECTIVE

to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis.

METHOD

cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test.

RESULTS

55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day.

CONCLUSION

depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.

摘要

目的

验证社会人口学和临床变量、生活习惯和功能能力与接受血液透析的慢性肾病患者的抑郁症状之间的关联。

方法

这是一项横断面研究,于 2017 年 2 月至 10 月进行,研究对象为位于巴西南里奥格兰德州的两个肾脏科室的 183 名血液透析患者。使用临床和社会人口学问卷以及贝克抑郁量表收集数据。采用描述性和分析性统计以及卡方检验进行分析。

结果

55.2%的参与者为老年人,66.4%为男性,90.7%已退休,60.3%存在抑郁症状。研究发现,抑郁症状与女性、更多的合并症和血液透析后并发症、情绪和身体症状、不活动、无法进行日常活动以及日常需要帮助之间存在关联。

结论

抑郁症状与合并症负担、更多的疾病并发症、血液透析并发症和功能依赖有关。体育锻炼是一种有效的护理策略。

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