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目的探讨尿毒症患者术后1~5 a抑郁症状的发生情况及相关因素。方法采用抑郁自评量表(SDS)和相关因素调查表对50例同种异体肾移植术后患者进行调查,并对抑郁症状的影响因素进行分析。结果 20%尿毒症患者术后有抑郁症状。昂贵的医疗费用、长期反复的就诊复查带来的痛苦、长期使用免疫抑制剂引起的各种不良反应、对慢性排斥反应的担忧、社会适用的再调整及经济地位的下滑、家庭角色的转变是影响患者抑郁症状的重要因素。结论尿毒症患者术后常伴有不同程度的抑郁症状,主要影响因素为昂贵的医疗费用、长期反复的就诊复查带来的痛苦、长期使用免疫抑制剂引起的各种不良反应、对慢性排斥反应的担忧、社会适用的再调整及经济地位的下滑、家庭角色的转变。
Objective To investigate the incidence and related factors of depressive symptoms in patients with uremia 1 ~ 5 days after operation. Methods Fifty patients with renal allograft after renal transplantation were investigated by Self-Rating Depression Scale (SDS) and related factors questionnaire, and the influencing factors of depressive symptoms were analyzed. Results 20% of uremic patients had depressive symptoms after operation. Costly medical costs, long-term repeated visits to the pain of the review, long-term use of immunosuppressive agents caused by various adverse reactions, concerns about chronic rejection, social readjustment and economic decline, changes in family roles Affect the depressive symptoms in patients with an important factor. Conclusions Uremic patients are often accompanied with varying degrees of depressive symptoms postoperatively. The main influencing factors are costly medical expenses, long-term and repeated medical visits, various adverse reactions caused by long-term immunosuppressive agents, and chronic rejection Concerns about social readjustment and economic decline, changes in family roles.