장기간 혈액투석을 받는 말기 신부전환자의 정서상태 및 투석 순응도에 대한 연구

A Study on the Affective State and Compliance in End-Stage Renal Disease Patients on Long-Term Hemodialysis

The purpose of this study is to evaluate the relationship between compliance of patients under hemodialysis and their affective states of depressed mood and anxiety. Subjects consist of 58 end-stage renal failure patients on the long-term hemodialysis of one year or longer. Depressed state was evaluated with Beck Depression Inventory(BDI) and anxiety state was assessed with Self-rating Antiety Scale (SAS). The compliance in terms of diet, medication and fluid was assessed with Potassium(K), Phosphorus(P) and Interdialytic Weight G ain(lW G ), respectively. The primary findings are as noted below. 1) 58.6% of the subjects felt depressed, but anxiety level was quite within normal range. 2) There were no intercorrelations between the compliance parameters of diet, education and fluid intake. Preliminary correlations are as follows. The level of depression correlated with that of anxiety. Educational level is correlated negatively with scores of depression and anxiety. Duration of marriage is correlated positively with scores of depression. 3) Only anxiety, not depression, correlated with IWG , when controlled for age, sex and other clinical variables. But, anxiety did not correlate with ?K and P. This result may suggest that IW Gis a more sensitive indicator of compliance than K and P.