不同治療方式之腎臟疾病末期病患之憂鬱情緒與護理

Nursing Care of Depressed Patients with End-stage Renal Disease Receiving Alternative Therapy

林佑樺(Yu-Hua Lin)

《臺灣腎臟護理學會雜誌》 13卷4期 (2014/12) Pp. 1-12

https://doi.org/10.3966/172674042014121304001

摘要

憂鬱對腎病末期病患不是一個新的問題，然而卻是病患最常見的情緒、心理社會或精神問題而對病患身體產生綜合性的影響。接受不同治療方式的腎病末期病患之憂鬱盛行率分別為血液透析治療者為33.33%至78.8%，腹膜透析治療者為19%至51.5%，和接受腎臟移植者為20%至45%。針對如此高的憂鬱盛行率，腎臟護理人員宜採取相關護理介入措施，包括降低病患不確定感、提供社會支持、運動規畫與介入和其他能降低憂鬱之措施以提升病患之改善生活品質。

關鍵字

腎病末期 ； 憂鬱 ； 血液透析 ； 腹膜透析 ； 腎臟移植

並列摘要

Depression for End stage renal disease (ESRD) patients is not a new but is the most common type of emotional, psychosocial, and psychiatric problems, and has a broad impact on the patient's physical function. The prevalence of depression among ESRD patients received alternative therapy ranges between 33.3% to 78.8% for hemodialysis, 19% to 51.5% for peritoneal dialysis, and 20% to 45% for renal transplantation. For such a high prevalence of depression, nurses of nephrology departments should provide intervention such as reducing the patient's level of uncertainty, provide appropriate social support, develop protocol for exercise training, and musical therapy etc. to diminish depression and improve the patient's quality of life.

並列關鍵字

end-stage renal disease ； depression ； hemodialysis ； peritoneal dialysis ； renal transplantation