Depression of Patients with Continuous Ambulatory Peritoneal Dialysis and Its Influencing Factors

2012 
Objective To understand the depression of peritoneal dialysis patients and discuss its influencing factors.Methods The investigation was conducted among 136 peritoneal dialysis patients with Self-Rating Depression Scale,The MOS 36-item Short Form Health Survey and Medical Coping Modes Questionnaire.Results The incidence of depression reached 31.6% and the quality of life of patients with peritoneal dialysis in depressed group was lower than those in non-depressed group(P0.01).The scores of facing and total coping style in non-depressed group were higher than those of depressed group and the avoidance and resignation scores of non-depressed group were lower than those of depressed group(P0.01).In addition,depression was negatively correlated with each dimension of quality of life and facing while it was positively correlated with avoidance and resignation(P0.01).Multiple stepwise regression analysis showed that economic status,role-physical,role-emotional,facing,resignation were major influencing factors of depression in peritoneal dialysis patients(P0.01 or P0.05).Conclusion Since many peritoneal dialysis patients are in the state of depression,nurses should carry out psychological intervention for peritoneal dialysis patients to improve their psychological status.
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