SymbolMental health evaluation of patients with maintained hemodialysis before and after kidney transplantation

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Abstract

BACKGROUND:

Renal allograft failure is one of the most familiar reasons of end-stage renal disease. The survival time in maintained hemodialysis patients improves remarkably.

OBJECTIVE:

To measure and evaluate the mental health condition of patients with maintenance hemodialysis before and after kidney transplantation.

METHODS:

A total of 106 hemodialysis patients and 100 chronic renal insufficiency patients who did not take any dialysis (as control) were involved. Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Symptom Checklist 90 (SCL-90) and Eysenck Personality Questionnaire (EPQ) were used as survey tools to evaluate the patients' mental health condition. The scores of the two groups were compared with each other and with that of the norm.

RESULTS AND CONCLUSION:

The mean SCL-90 scores of the two groups were significantly higher than that of the norm, and hemodialysis patients had higher scores than control people in the aspects of interpersonal sensitivity, depression, anxiety, sleep and diet (P < 0.05). Chronic renal insufficiency patients who did not take any dialysis had higher factor scores in somatization than hemodialysis patients (P< 0.01). The mean scores of SAS and SDS in the two groups were significantly higher than that in the norm, and the scores in the hemodialysis group were significantly higher than that in the control group (P < 0.01). The scores of E and N in the personality scale of hemodialysis group were higher than that of the control group (P< 0.01). These findings indicate that end-stage renal disease patients still have severe physical and mental problems after regular hemodialysis treatment. Especially, the condition in the aspects of interpersonal sensitivity, depression, anxiety and sleep worsens after hemodialysis. Hemodialysis patients are emotionally unstable. So the treatment on the mental condition in maintained hemodialysis patients should be strengthened on the basis of sufficient hemodialysis.

RESULTS AND CONCLUSION:

Bi SF, Bi H, Zhang M, Long G. Mental health evaluation of patients with maintained hemodialysis before and after kidney transplantation. Zhongguo Zuzhi Gongcheng Yanjiu yu Linchuang Kangfu. 2011;15(53): 9909-9912. [http://www.crter.cnhttp://en.zglckf.com]

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