Gebre Bereket Beyene, Deribe Bedilu, Abeto Mintesnot
School of Nursing, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
College of Health Science, Hawassa University, Hawassa, Ethiopia.
Integr Blood Press Control. 2020 Mar 23;13:31-39. doi: 10.2147/IBPC.S240015. eCollection 2020.
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.
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.
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.
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).
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.
高血压和抑郁症是影响全球人口的最常见公共卫生问题。与患有其他慢性疾病的患者一样，高血压患者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，全球有3.82亿人受其影响。
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）慢性病门诊接受治疗随访的高血压患者中抑郁症的严重程度及相关因素。
2019年3月至5月，对在哈瓦萨HUCSH慢性病门诊接受治疗随访的310名高血压患者进行了一项基于机构的横断面研究。使用经过验证的患者健康问卷（PHQ-9）评估抑郁症。数据使用EPI-data 3.1版本录入，并在SPSS 22版本中进行分析。采用二元逻辑回归确定自变量与因变量之间的关联。
高血压（HPN）患者中抑郁症的严重程度为73例（24.7%）。独立预测因素为性别2.6（1.16，5.83）、年龄11.2（2.98，42）、教育程度、社会支持2.55（1.09，5.94）、抑郁症家族史7.12（1.48，34.26）、高血压7.57（2.67，21.44）和药物依从性11.6（4.23，31.78）。
HPN患者中抑郁症的严重程度较高。因此，应在不同层面持续传播有关影响他们的因素的健康信息。加强与精神科的转诊联系以进行心理行为治疗将带来良好的临床效果。此外，控制高血压对于取得良好的临床效果至关重要。
