国际老年医学杂志2025，Vol.46Issue(5)：540-545,6.DOI:10.3969/j.issn.1674-7593.2025.05.006
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
Impact of comorbidity of pain and depression on activities of daily living in elderly patients on hemodialysis
摘要
Abstract
Objective To investigate the status of pain-depression comorbidity in elderly maintenance hemodialysis patients and analyze its correlation with activities of daily living(ADL).Methods Elderly patients who underwent maintenance hemodialysis in Beijing Friendship Hospital from April to October 2023 were selected as the study subjects.Patients were assessed for pain,depres-sion,and ADL.Multivariate logistic regression model was used to investigate the correlation between pain-depression comorbidity and ADL and the influencing factors of ADL decline in elderly maintenance hemodialysis patients.Results A total of 208 patients were in-cluded,45(21.6%)had pain-depression comorbidity and 42(20.2%)had decreased ADL.Patients in the pain-depression comor-bidity group had more decreased ADL compared with the pain-free depression group(P<0.05).Multivariate logistic regression analy-sis showed that pain-depression comorbidity,age,grip strength and predialysis serum creatinine were independent factors for ADL de-cline in elderly maintenance hemodialysis patients(P<0.05).Conclusion The prevalence of pain-depression comorbidity was high-er in elderly maintenance hemodialysis patients,and pain-depression comorbidity,age,grip strength,and predialysis serum creatinine were independent factors for ADL decline in elderly maintenance hemodialysis patients.关键词
慢性疼痛/抑郁/日常生活活动能力/血液透析Key words
Chronic pain/Depression/Activities of daily living/Hemodialysis引用本文复制引用
杨一帆,马清,杨华昱,刁宗礼,姚兰,石小天,窦国泽,李园园,李旭,李杰..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[J].国际老年医学杂志,2025,46(5):540-545,6.基金项目
首都卫生发展科研专项(2022-2-2028) （2022-2-2028）
