Depressive Disorder in The Elderly with Comorbidity in Prima Medika Clinic, Semarang

Eviana Budiartanti Sutanto, P. Sebong
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Abstract

Background: Diabetes Mellitus and hypertension patients have higher risks of experiencing mental disorders such as depression and or anxiety. Objective: assess the frequency and severity of depression as well as identify the risk factors of patients with chronic disease and also other factors influencing depression in PROLANIS patients in Prima Medika Primary Clinic, Semarang Indonesia. Method: A cross-sectional study, targeting PROLANIS patients registered at Prima Medika Primary Clinic in Semarang, Indonesia.  Participants were selected through purposive sampling, during a period from February to May 2021. Participants targeted were DM, Hypertension, or a combination of hypertension and diabetic type 2 patients. The Indonesia Ministry of Health Clinical Criteria was used for the Metabolic Syndrome assessment. Result: Among 68 respondents, 15 (22.05%) respondents suffered from mild depression and 6 (8.82%) respondents suffered from major depression.  Mostly, their education level is High School (55.9%), are married (73.5%), have fixed income (55.8%), and are non-smokers. The number of participants suffering from hypertension is larger than those who suffer from DM and DM + Hypertension.  Correlation test results find a relationship between disease diagnosis and the case of depression in PROLANIS participants (p-value 0.05). Conclusion : Depression, DM, and hypertension are diseases in which the number of cases keeps increasing.  Early detection of depression needs to be improved to promote the successful management of diabetes and hypertension.
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三宝垄市 Prima Medika 诊所老年人的抑郁症合并症
背景:糖尿病和高血压患者患抑郁症和焦虑症等精神疾病的风险较高。目的:评估印度尼西亚三宝垄市 Prima Medika 初级诊所 PROLANIS 患者抑郁的频率和严重程度,确定慢性病患者的风险因素以及影响抑郁的其他因素。研究方法横断面研究,对象是在印尼三宝垄 Prima Medika 初级诊所登记的 PROLANIS 患者。 参与者是在 2021 年 2 月至 5 月期间通过目的性抽样选出的。研究对象包括糖尿病、高血压或高血压与 2 型糖尿病患者。代谢综合征评估采用印尼卫生部临床标准。结果:在 68 名受访者中,15 人(22.05%)患有轻度抑郁症,6 人(8.82%)患有重度抑郁症。 大部分受访者的教育程度为高中(55.9%),已婚(73.5%),有固定收入(55.8%),不吸烟。患有高血压的参与者人数多于患有糖尿病和糖尿病+高血压的参与者。 相关性测试结果表明,PROLANIS 参与者的疾病诊断与抑郁症病例之间存在关系(P 值为 0.05)。结论 :抑郁症、糖尿病和高血压是发病人数不断增加的疾病。 需要加强对抑郁症的早期发现,以促进糖尿病和高血压的成功治疗。
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