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《Chinese Journal of Nephrology》 1997-03
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Psychological status in maintenance hemodialysis patients.

Liu Qun , Wang Met, Wang Haiyan , et al. Institute of Nephrology, Beijing Medical University, Beijing 100034  
To study psychological status of maintenance hemodialysis (MHD) patients and carry out psychotherapy in China. Methods 92 MHD patients from six dialysis units in Beijing were investigated by means of three psychological re ting scales; symptom check list 90 (SCL-90), multidimentional health locus of control (MHLC), Eysenck personality questionaire (EPQ) and one questionair of quality of life specific for end-stage renal disease (ESRD) patients. The result of this study was compared with the data from HD centers in USA and Canada. Results A higher proportion of psychological disturbance especially in anxiety was found in our MHD patients than those in USA ( P 0.01). The psychological disturbance was significantly correlated with chance externality dimention of MHLC( P 0.01). Patients with high scores for neuroticism of EPQ trended towards appearance of depression and anxiety. A lower objective quality of life was showed in our MHD patients compared with those in Canada. But there was not a significant difference in overall life satisfaction between both groups. The objective quality of life in our MHD patients was significantly correlated with both psychological and somatic status ( P 0.01) and psychological disturbance was associated with somatic symptoms ( P 0.01). Conclusion Our MHD patients shared some common psychological features with those in USA and Canada, and they had some special psychological characteristics. We should take care of both somatic and psychological health of MHD patients to improve their quality of life.
【Key Words】: Hemodialysis Psychological status Quality of life
【CateGory Index】: R395.1
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