血液透析老年患者中疼痛-抑郁共病与日常生活能力的相关性研究

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Impact of comorbidity of pain and depression on activities of daily living in elderly patients on hemodialysis

[Abstract]ObjectiveTo investigate thestatusof pain-depresioncomorbidityinelderlymaintenance hemodialysis patients andanalyzeitscorelationwithactivitiesofdailyliving（ADL）.MethodsElderlypatientswhounderwentmaintenancehmodialysis inBeijingFriendshipHospitalfromApriltoOctoberO23wereselectedasthesudysubjectsPatientswereaessedforpain，depres sion，andADL.Multivariatelogisticegresionmodelasusedtoivestigatethecoelationbetweepaindepressoncomobiditynd ADLandtheinfluencingfactorsofADLdeclineinelderlymaintenancehemodialysispatientsResultsAtotalof2O8patientswereincluded，45 （21.6% ）had pain-depression comorbidity and 42（ 20.2% ）had decreased ADL. Patients in the pain-depression comorbidity group had more decreased ADL compared with the pain-free depression group （ P<0.05 ）.Multivariate logistic regression analysis showedthatpai-depresioncomorbidity，age，gripstrengthandpredialysisserumcreatinine were independentfactorsforADdecline in elderly maintenance hemodialysis patients （ P<0.05 ）.Conclusion The prevalence of pain-depression comorbidity was higher inelderlymaitenancehemodialysispatients，andpai-depresioncomrbidity，age，gripstrngth，andprdialysisserumceatiine wereindependent factors for ADL declinein elderly maintenance hemodialysis patients.

[Keywords] Chronicpain；Depression；Activitiesofdailyliving；Hemodialysis

随着人口老龄化及医疗技术的不断提升，我国血液透析老年患者的比例逐年升高[1]。（剩余11006字）