Demirtürk Ezgi, Hacıhasanoğlu Aşılar Rabia
Ahi Evren Chest, Heart and Vascular Surgical Education and Research Hospital, Trabzon, Turkey.
Professor, Erzincan Binali Yıldırım University Faculty of Health Sciences, Department of Public Health Nursing, Erzincan, Turkey.
J Vasc Nurs. 2018 Sep;36(3):129-139. doi: 10.1016/j.jvn.2018.06.001. Epub 2018 Jul 24.
This study was carried out to find the effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension. The descriptive study population consisted of hypertensive individuals aged 65 years and older, who presented to one of the three Family Health Centers located in the provincial center of Erzincan. No sampling was attempted, and 350 people who met the inclusion criteria were included in the study. The study data were collected between May and September 2014 by face-to-face interviews using a descriptive questionnaire, the Medication Adherence Self-Efficacy Scale-Short Form for hypertensive patients, and the Geriatric Depression Scale. Depression was found in 57.1% of all the elderly in this study and in 72.6 % of those aged 80 years and older. A moderately significant negative correlation was found between depression and the mean medication adherence self-efficacy score. In conclusion, early diagnosis and treatment of depression symptoms is an important factor in the management and treatment of hypertension. For this reason, it is important for the nurse and other health professionals working in primary care to observe hypertensive elderly people for depression symptoms, to consider the effect of depression on adherence to medication in coping with the disease.
本研究旨在探讨抑郁症对老年高血压患者抗高血压药物依从性的影响。描述性研究人群包括65岁及以上的高血压患者,他们前往位于埃尔津詹省中心的三家家庭健康中心之一就诊。未进行抽样,350名符合纳入标准的人员被纳入研究。研究数据于2014年5月至9月期间通过面对面访谈收集,使用描述性问卷、高血压患者用药依从性自我效能量表简表和老年抑郁量表。本研究中,57.1%的老年患者存在抑郁,80岁及以上患者中这一比例为72.6%。抑郁与平均用药依从性自我效能得分之间存在中度显著负相关。总之,抑郁症症状的早期诊断和治疗是高血压管理和治疗的重要因素。因此,在初级保健机构工作的护士和其他卫生专业人员观察高血压老年患者是否有抑郁症状,并在应对疾病时考虑抑郁对用药依从性的影响非常重要。