トルコ の 移植 センター から の 横断 研究
Selvi Ceran1, Gonca Aşut, Yasemin Hoşgören Alıcı
1>From Başkent University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey.
まとめ
不安障害は慢性腎臓病の 腎臓移植候補者の18%に影響します 女性の性別,失業,過去に失敗した移植,精神病歴は重要な危険因子であり,統合精神保健の必要性を強調しています.
科学分野:
- 腎臓科
- 精神科
- 移植医学
背景:
- 慢性腎臓病 (CKD) は重大な心理的苦痛と関連しており,不安やうつ病のリスクを高めています.
- 腎臓移植の候補者は 心の健康を 慎重に評価する必要がある 脆弱な集団を代表しています
研究 の 目的:
- 腎臓移植のために評価された個体の中で不安障害の流行を決定する.
- この患者集団における不安障害に関連した社会統計学的および臨床的要因を特定する.
主な方法:
- 移植センターで5年以上に渡る 802人の成人CKD患者の医療記録の 遡及的レビュー
- 精神医学評価データと社会統計学的/臨床的特徴を分析した.
- 診断された不安障害と診断されていない患者の特徴の比較
主要な成果:
- 腎臓移植候補者の18%が不安障害と診断され,5. 6%が併発性うつ病と診断された.
- 不安に対する独立したリスク要因には,女性 (OR1. 96),失業 (OR1. 70),以前の腎臓移植失敗 (OR24. 07),および以前の精神病歴 (OR2. 07) が含まれていた.
- 患者の平均年齢は48歳で,76%が男性,74%が都市部出身でした.
結論:
- 腎臓移植の候補者において,不安障害が流行しており,生活の質と機能に影響を及ぼしている.
- 総合的な心理社会的評価は この集団にとって極めて重要です
- スクリーニングは,性別,雇用,精神病歴,移植の結果を考慮して,リスクのある個人を特定する必要があります.
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