【摘要】目的了解血液透析患者的主要照顾者反应、应对方式及抑郁现状，并分析其间相关性。方法采用一般资料问卷、照顾者反应评定量表、简易应对方式量和抑郁自评量表对118 例血液透析患者主要照顾者进行调查。结果血液透析患者的主要照顾者自尊维度与抑郁情绪呈负相关(r=-0.195，P=0.034)，健康维度和经济问题与抑郁情绪呈正相关(r 值分别为0.219, 0.315；P 值分别为0.017，0.001)消极应对方式与抑郁情绪呈正相关(r=0.216, P=0.019)。结论血液透析主要照顾者存在抑郁情绪，医护人员应制定相应措施，降低其抑郁情绪并提高其积极感受，从而提高照顾者的照顾质量。

【Abstract】Objective To understand the reaction, coping style and depression and to analyze the relationship between reaction, coping style and depression in the primary caregivers of hemodialysis patients. Methods A total of 118 primary caregivers of hemodialysis patients in a hospital were investigated by general information questionnaire, Caregiver Response Rating Scale, Simplified Coping Style and Self Rating Depression Scale (SDS). Results In the primary caregivers of hemodialysis patients, self-esteem was negatively correlated with depression (r=-0.195, P=0.034); health and economic problems were positively correlated with depression (r=0.219 and 0.315 respectively, P=0.017 and 0.001 respectively); and negative coping style was positively correlated with depression (r=0.216, P=0.019). Conclusions Depression status exists in the primary caregivers of hemodialysis patients. Medical workers should adopt effective measures to reduce their depression and raise their positive feelings, from which the quality of care for patients can then be improved.