老年透析病人的譫妄、失智症與憂鬱症

Recognizing Delirium, Dementia, and Depression in Elderly Patients Receiving Dialysis

梁玉梅(Yu-Mei Liang) ； 吳培甄(Pei-Chen Wu) ； 吳志仁(Chih-Jen Wu)

《腎臟與透析》 33卷4期 (2021/12) Pp. 182-186

https://doi.org/10.6340/KD.202112_33(4).0006

摘要

慢性腎臟病（包含末期接受透析）的老年患者常伴隨有神經或精神病症，例如譫妄、失智症、以及憂鬱症。這些神經或精神疾患常導致較高的死亡率，較差的生活品質，治療的配合度較差，停止透析的機率較高，醫療成本也較其他慢性疾病的花費來得高。及早診斷、即時介入與治療，可以改善病人的心靈健康與預後。

關鍵字

譫妄 ； 失智症 ； 憂鬱症 ； 透析 ； 末期腎病變

並列摘要

Neuropsychiatric disorders such as delirium, dementia, and depression are common among elderly patients with chronic kidney disease and end-stage kidney disease. These patients are at higher risks of mortality, poorer quality of life, poorer treatment adherence, higher rates of dialysis withdrawal, and higher rates and costs of treatment compared to other chronic illnesses. Early diagnosis of neuropsychiatric disorders and prompt intervention and treatment could benefit these patients in terms of mental health and outcomes.

並列關鍵字

delirium ； dementia ； depression ； dialysis ； end-stage kidney disease