Study On The Depression Status And Its Related Factors In Patients With Renal Disease But Not Hemodialysis

ObjectiveTo explort the depression status and its influencing factors in nephrologic patients without dialysis in order to look forward to wide-spread medical staff the importance of medical illness.MethodsA descriptive design was used to conduct this study.759 hospitalized patients in our hospital in July 2009-February 2010 were assessed by Hamilton Depression Scale (HAMD)(17 items).According to score of the latter,patients were divided into two groups.The first group comprised 490 patients with HAMD score 0-17(absence of depressoin),whereas the groups included 269 patients scoring higher than 17(clinically assessed depression).The basic situation,the relavant laboratory tests and use of steroids in depressive patients and non-depressive patients were analyzed.Results35.44% of patients had HAMD score higher than 17,which means the prevalence rate of depression in these patients was 35.44%.There are not importment differences in educational level and income between depressed and non-depressed patients.There are significantly difference in age,blood type (A),bicarbonate and complement C3 between the depression group and the nondepression group (p<0.005,p<0.005,P<0.05,p<0.05).ConclusionsNon-dialysis kidney disease patients with depression were signicantly higher than the general population.There are not importment differences in educational level and income between depressed and non-depressed patients.Low bicarbonate levels,low complement C3 levels and A-type blood are risk factors for non-dialysis patients with depression,but the age is protective factor for depression.