Magnitude and Associated Factors of Depression Among Hypertensive Patients Attending Treatment Follow Up in Chronic OPD at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2020-03-23 eCollection Date: 2020-01-01 DOI:10.2147/IBPC.S240015
Bereket Beyene Gebre, Bedilu Deribe, Mintesnot Abeto
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引用次数: 10

Abstract

Background: Hypertension and depression are among the most common public health issues affecting the population around the world. Like patients with other chronic medical conditions, hypertensive patients experience many intense emotions which increase their risk for the development of depression. Globally, depression is the leading cause of disability and 382 million people suffer worldwide.

Objective: The aim of this study was to assess the magnitude and factors associated with depression among hypertensive patients attending treatment follow up in the chronic OPD at Hawassa University Comprehensive Specialized Hospital (HUCSH) from March to May, 2019.

Methods: An institutional-based cross-sectional study was conducted with 310 hypertensive patients attending treatment follow up at the chronic Out-Patient Department of HUCSH at Hawassa from March to May, 2019. A validated patient health questionnaire (PHQ-9) was used to assess depression. The data were entered using EPI-data version 3.1 and analyzed in SPSS version 22. Binary logistic regression was used to determine the association of independent variables with dependent variables.

Results: The magnitude of depression among hypertension (HPN) patients was found to be 73 (24.7%). The independent predictors were sex 2.6 (1.16, 5.83), age 11.2 (2.98, 42), educational status, social support 2.55 (1.09, 5.94), family history of depression 7.12 (1.48, 34.26), hypertension 7.57 (2.67, 21.44), and medication adherence 11.6 (4.23, 31.78).

Conclusion: The magnitude of depression among HPN patients was high. So, continuous health information dissemination at a different level regarding factors affecting them should be given. Strengthening a referral linkage with a psychiatric unit for psycho-behavioral therapy will bring good clinical outcome. Besides, controlling hypertension was crucial to bring good clinical outcome.

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埃塞俄比亚南部阿瓦萨大学综合专科医院慢性门诊接受治疗随访的高血压患者抑郁程度及相关因素
背景:高血压和抑郁症是影响全世界人口的最常见的公共卫生问题之一。与其他慢性疾病患者一样,高血压患者也会经历许多强烈的情绪,这增加了他们患抑郁症的风险。在全球范围内,抑郁症是导致残疾的主要原因,全世界有3.82亿人患有抑郁症。目的:本研究的目的是评估2019年3月至5月在哈瓦萨大学综合专科医院(HUCSH)慢性门诊接受治疗随访的高血压患者的抑郁程度和相关因素。方法:对2019年3月至5月在哈瓦萨市hush慢性门诊接受治疗随访的310例高血压患者进行基于机构的横断面研究。一份有效的患者健康问卷(PHQ-9)被用来评估抑郁症。使用EPI-data 3.1版本录入数据,使用SPSS 22版本进行分析。采用二元逻辑回归来确定自变量与因变量的相关性。结果:高血压(HPN)患者抑郁程度为73(24.7%)。独立预测因子为性别2.6(1.16,5.83)、年龄11.2(2.98,42)、文化程度、社会支持2.55(1.09,5.94)、抑郁家族史7.12(1.48,34.26)、高血压史7.57(2.67,21.44)、药物依从性11.6(4.23,31.78)。结论:HPN患者抑郁程度较高。因此,应针对影响其健康的因素,在不同层次上进行持续的健康信息传播。加强与精神科的转诊联系进行心理行为治疗将带来良好的临床效果。此外,控制高血压是取得良好临床效果的关键。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
Prevalence and Predictors of Depression Symptoms Among Afghan Hypertensive Patients: Secondary Analysis of a Multi-Center Cross-Sectional Study. Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda [Response to Letter]. Resistance Training in Cardiovascular Diseases: A Review on Its Effectiveness in Controlling Risk Factors. Thoughts on "Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda" [Letter]. Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia [Letter].
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