Ye Yin-Yin, Tao Liang-Fei, Yang Yan-Lang, Wang Yu-Wei, Yang Xiao-Ming, Xu Hai-Hong
Department of Nephrology, Yijishan Hospital of Wannan Medical College, Wuhu 241001, Anhui Province, China.
Emergency Center, Shanghai Baoshan District Medical Emergency Center, Shanghai 201900, China.
World J Psychiatry. 2025 Jul 19;15(7):103850. doi: 10.5498/wjp.v15.i7.103850.
Research examining the relationships among anxiety, depression, self-perceived burden (SPB), and psychological resilience (PR), along with the determinants of PR, in patients with chronic renal failure (CRF) receiving maintenance hemodialysis (MHD) is limited.
To investigate the correlation between anxiety, depression, SPB, and PR in patients with CRF on MHD.
This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024. The anxiety level was evaluated using the Self-Rating Anxiety Scale (SAS); the depression status was assessed using the Self-Rating Depression Scale (SDS); the SPB was measured using the SPB Scale (SPBS); and the PR was determined using the Connor-Davidson Resilience Scale (CD-RISC). The correlations among the SAS, SDS, SPB, and CD-RISC were analyzed using Pearson's correlation coefficients. Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.
The SAS, SDS, SPB, and CD-RISC scores of the 225 patients were 45.25 ± 15.36, 54.81 ± 14.68, 32.31 ± 11.52, and 66.48 ± 9.18, respectively. Significant negative correlations were observed between SAS, SDS, SPB, and CD-RISC. Furthermore, longer dialysis vintage ( = 0.015), the absence of religious beliefs ( = 0.020), lower monthly income ( = 0.008), higher SAS score ( = 0.013), and higher SDS score ( = 0.006) were all independent factors that adversely affected the PR of patients with CRF on MHD.
Patients with CRF on MHD present with varying degrees of anxiety, depression, and SPB, all of which exhibit a significant negative correlation with their PR. Moreover, longer dialysis vintage, the absence of religious beliefs, lower monthly income, higher SAS score, and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD.
关于接受维持性血液透析（MHD）的慢性肾衰竭（CRF）患者中焦虑、抑郁、自我感知负担（SPB）和心理弹性（PR）之间的关系以及PR的决定因素的研究有限。
探讨接受MHD的CRF患者中焦虑、抑郁、SPB和PR之间的相关性。
本研究纳入了2021年6月至2024年6月期间收治的225例接受MHD的CRF患者。采用焦虑自评量表（SAS）评估焦虑水平；采用抑郁自评量表（SDS）评估抑郁状态；采用自我感知负担量表（SPBS）测量SPB；采用Connor-Davidson心理弹性量表（CD-RISC）测定PR。使用Pearson相关系数分析SAS、SDS、SPB和CD-RISC之间的相关性。进行单因素和多因素分析以确定影响接受MHD的CRF患者PR的因素。
225例患者的SAS、SDS、SPB和CD-RISC评分分别为45.25±15.36、54.81±14.68、32.31±11.52和66.48±9.18。观察到SAS、SDS、SPB和CD-RISC之间存在显著负相关。此外，透析龄较长（=0.015）、无宗教信仰（=0.020）、月收入较低（=0.008）、SAS评分较高（=0.013）和SDS评分较高（=0.006）均为对接受MHD的CRF患者PR产生不利影响的独立因素。
接受MHD的CRF患者存在不同程度的焦虑、抑郁和SPB，所有这些均与他们的PR呈显著负相关。此外，透析龄较长、无宗教信仰、月收入较低、SAS评分较高和SDS评分较高是对接受MHD的CRF患者PR产生负面影响的因素。
