關鍵詞：維持性血液透析：抑郁；社會支持；應對方式 Title: The psychoanalysis and nursing of patients with Maintenance hemodialysis ABSTRACT Objective:The purpose of this study was to understand the depression incidence rate in patiens with maintenance hemodialysis，to determine social support,coping style and mental defense style of the patients，to explore the relatiomhip between the depression and social support，coping style and defense style of the patients． Methods:A descriptive，correlative design Was employed in this study．From October 2009 to June 2010，84 patients who received maintenance hemodialysis treatment in the Department of Nephrology from our hospatiol were recruited to complete a series of questionnaires，including Self-Rating Depression Scale Social(SDS)，Support Rating Scale(SSRS)，Coping Style Questionnaire and Defensive Style Questionnaire(DSQ)．The survey scheme accorded with the medical ethics demands．The SPSS 1 1．0 was used for data analysis．Describing the depression incidence rate，the social support，coping style，and mental defense style with the sample avemge and the total average．The relationship ofthem is analyzed by Pearson relative analysis． Results:In this survey,84 complete and effective questionnaires were taken back．1.Depression state to extend occurred in 69％ of the maintenance hemodialysis patients.2.he cases were divided into two groups(depression group and non-depression)．There were ignificant difference in earnings(P<0．05)，but nO significant difference in social support between twogroups(P>O.5)．3.n coping style，there were significant difference in the averages scores of the factors of the endency of solving problem,self-reproach appealing llusion,,wince and the effectiveness of roblem-solving appealing((P<0.5).4.There were significant difference in the averages scores of immature defense styles such as projection，passive-aggression，acting out，fantasy,withdrawl between two groups(P<O．05)．There were remarkable difference in the averages scores of mature defense styles such as humor,sublimation and bintermediate between two groups(P<0.05). Conclusion:There Was higher depression incidence rate in hemodialysis atients．The economic condition may be one of the main caBses in influencing the incidence of depression for patients with emodialysis．The maintenance hemodialysis patients were given a certain social support from the family and the socity．The chronic hemodialysis patients tended to negative coping style in life，and negative coping style Can burden their depression．The 900d social supporting could improve the coping style and relieve the depression symptoms of hemodialysis patients remarkably．The chronic hemoclialysis patients tended to use immature mechanism and intermediate mechanism instead of mature mechanism．The production of depression Was correlated positively with negative coping style and unmature defensive style，and negatively with positive coping style and mature defensive style significantly．
