焦虑症状对透析坚持和并发症率的影响:一项纵向观察性研究
Peng Huang1, Hai-Ting Huang1, Jing Ma1
1Department of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China.
World journal of psychiatry
|December 20, 2024
概括
透析患者的焦虑与治疗不良的坚持和更多的并发症有关. 解决焦虑症状可能会改善患者的结果和对透析治疗方案的坚持.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
- 临床医学 临床医学
背景情况:
- 焦虑是透析患者常见的并发症.
- 它对治疗坚持和并发症率的影响还未得到充分研究.
研究的目的:
- 为了研究焦虑症状,透析坚持和并发症率之间的关系.
- 在24个月内对250名接受血液透析或腹膜透析的成年患者进行的研究.
主要方法:
- 纵向观测研究的设计.
- 使用医院焦虑和抑郁量表-焦虑子量表来评估焦虑.
- 透析坚持通过出席,体重增加和药物坚持来评估透析坚持.
- 记录了并发症 (感染,心血管事件,住院).
主要成果:
- 较高的焦虑与较差的坚持相关 (错过的会议,体重增加,药物坚持).
- 临床上显著的焦虑增加了并发症的风险,特别是感染和心血管事件.
- 坚持措施部分调解了焦虑与并发症的关系.
结论:
- 焦虑症状与透析患者治疗坚持程度降低和并发症增加有关.
- 定期查和对焦虑的干预可以提高坚持和临床结果.
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