Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes

Aim. to assess the depressive symptoms status of chronic kidney diseases in nantong,china,with type 2 diabetes and to identify factors associated with depressive symptoms. methods. in this cross-sectional analytic study,210 type 2 diabetic patients were recruited from the second affiliated hospital of nantong university. depressive symptoms were assessed with the depression subscale of the hospital anxiety and depression scale (had-d). the quality of life was measured with the rand 36-item health survey (sf-36). and the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis. results. the mean age of the study subjects was 57.66 years (sd: 11.68). approximately 21.4% of subjects reported depressive symptoms (n=45). forward stepwise logistic regression analysis showed that female gender (p=0.010),hypertension (p=0.022),stage iv (p=0.003),and stage v (p<0.001) were significant risk factors for depressive symptoms. the quality of life of individuals with had-d score <11 was significantly better compared with individuals with had-d score ≥ 11. conclusions. these results indicate that clinicians should be aware that female patients with chronic kidney diseases with t2dm in their late stage with hypertension are at a marked increased risk of depressive symptoms. providing optimal care for the psychological health of this population is vital. © 2017 xu wang et al.