Mức độ trầm cảm, rối loạn nhận thức và các yếu tố liên quan ở bệnh nhân bệnh thận mạn giai đoạn 3-5=Assessment of depression and cognitive disorders and related factors in patients with chronic kidney disease stages 3-5

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Tác giả: Viết Nhật Hoàng Nguyễn, Ngọc Việt Trần, Thái Anh Trần, Thị Ngân Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.64-70

Bộ sưu tập: Báo, Tạp chí

ID: 244006

Thêm vào giỏ

Khảo sát mức độ trầm cảm, rối loạn nhận thức và các yếu tố liên quan ở bệnh nhân bệnh thận mạn giai đoạn 3-5. Phương pháp: Nghiên cứu mô tả cắt ngang trên 106 bệnh nhân mắc bệnh thận mạn giai đoạn 3-5 hiện đang chưa điều trị thay thế thận tại Khoa Nội Thận tiết niệu, Bệnh viện Hữu Nghị Việt Nam - Cu Ba Đồng Hới, từ tháng 3/2023 đến tháng 11/2023. Số liệu thu thập sử dụng thang đo đánh giá sàng lọc trầm cảm Beck Depression Inventory (BDI), thang đo suy giảm nhận thức Mini Mental State Examination (MMSE) và các câu hỏi về đặc điểm lâm sàng. Kết quả: Điểm trầm cảm trung bình của bệnh nhân là 17,54 điểm, trong đó có 73,6% bệnh nhân có biểu hiện trầm cảm
điểm nhận thức trung bình của bệnh nhân là 24,47 điểm, trong đó có 36,8% bệnh nhân có rối loạn nhận thức. Có sự khác biệt có ý nghĩa thống kê giữa mức độ trầm cảm với trình độ học vấn, nghề nghiệp và giai đoạn bệnh thận mạn với p lần lượt là 0,029
0,013
0,008. Có mối tương quan thuận mạnh giữa mức độ trầm cảm và mức độ rối loạn nhận thức, cụ thể mức độ rối loạn nhận thức càng nặng thì mức độ trầm cảm càng nặng và ngược lại (p=0,017, r=0,96). Kết luận: Cần chú ý đến tình trạng trầm cảm ở bệnh nhân BTM giai đoạn 3-5 khi họ có rối loạn về nhận thức.Surveying the levels of depression, cognitive disorders and related factors in patients with stage 3-5 chronic kidney disease. Method: A descriptive cross-sectional study was conducted with 106 with CKD stages 3-5 who are not currently receiving renal replacement therapy at the Nephrology Department, Vietnam Cu Ba Dong Hoi Friendship Hospital, from March 2023 until November 2023. Data were collected using the Beck Depression Inventory (BDI) depression screening scale, the Mini Mental State Examination (MMSE) cognitive impairment scale and questions about clinical characteristics. Results: The average depression score of the patients was 17.54 points, of which 73.6 patients showed signs of depression
The average cognitive score of patients was 24.47 points, of which 36.8 patients had cognitive disorders. There is a statistically significant difference between the level of depression, and education level, occupation, stage of chronic kidney disease with p 0.029, respectively
0.013
0.008 (p<
0.05). There is a strong positive correlation between the level of depression and the level of cognitive disorder, specifically, the more severe the level of cognitive disorder, the more severe the depression level and vice versa (p=0.017, r=0.96). Conclusions: Attention should be paid to depression in patients with CKD stages 3-5 when they have cognitive disorders.

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