Depressive emotions investigation and analysis for stage 1-4 chronic kidney disease

Abstract

Objective To explore current situation of depressive symptoms and analyze its influencing factors in stage 1-4 chronic kidney disease (CKD) patients. Methods From August 2014 to September 2014, a cross-sectional study was performed, and 214 outpatients chronic kidney disease (CKD) were recruited by convenience sampling method to evaluate depressive scores using the Zung self-rating depression scale in a grade A class three hospital of Sichuan province. Using single factor analysis method, a preliminary study was performed to explore the influencing factors of depression symptoms including gender, residence, education and the family income per capita. Results A total of 214 CKD depression scores was (47.98±10.38), which was significantly more than that of norm (t=20.472, P<0.01). Single factor analysis showed gender, residence, education and the family income per capita all influenced the depressive incidences (χ2=14.929, 5.413, 7.290, 9.917; P<0.05). Multiple stepwise regression analysis showed gender, residence, education and the family income per capita all were depression influencing factors (P<0.05). Conclusions Medical and health institutions should give great importance to depressive symptoms in CKD patients, especially for stage 1-4 CKD patients. Focus on assessment and early intervention can reduce the incidences of the depression and improve the prognosis. Key words: Chronic kidney disease; Depression; Investigation; Influencing factors