Seattle University, College of Nursing, 901 12th Ave., Seattle, WA 98122-1090, USA.
Issues Ment Health Nurs. 2012 Aug;33(8):522-7. doi: 10.3109/01612840.2012.687438.
Depression is a significant problem in heart failure (HF). The purposes of this study were to assess the prevalence of depressive symptoms in Hispanics with HF and to examine the personal characteristics predicting depressive symptoms at baseline and at 6-months follow-up in a telephone case management intervention. In this secondary data analysis based on 87 subjects, patient characteristics hypothesized to influence depressive symptoms included age, gender, education, living situation, co-morbidity, social support, New York Heart Association (NYHA) class, and acculturation. DSM-IV major depression was present in 39.1% (n = 35) of the participants at baseline and 1.1% (n = 1) at the 6-month follow-up. In regression analysis, factors associated with depressive symptoms at baseline were gender and NYHA class. At 6-month follow-up, acculturation, co-morbidity, and NYHA were significantly related to the presence of depressive symptoms. Depressive symptoms were highly prevalent in Hispanics with HF. Easily identifiable personal characteristics can be useful in designing interventions to reduce depression associated with HF.
抑郁症是心力衰竭（HF）的一个严重问题。本研究的目的是评估西班牙裔 HF 患者中抑郁症状的患病率，并在电话病例管理干预中，在基线和 6 个月随访时，检查预测抑郁症状的个人特征。在基于 87 名患者的二次数据分析中，假设影响抑郁症状的患者特征包括年龄、性别、教育、居住情况、合并症、社会支持、纽约心脏协会（NYHA）分级和文化适应。在基线时，39.1%（n=35）的参与者存在 DSM-IV 重度抑郁症，而在 6 个月随访时为 1.1%（n=1）。在回归分析中，与基线时抑郁症状相关的因素是性别和 NYHA 分级。在 6 个月随访时，文化适应、合并症和 NYHA 与抑郁症状的存在显著相关。HF 西班牙裔患者中抑郁症状的患病率很高。易于识别的个人特征可用于设计干预措施，以减少与 HF 相关的抑郁。
