Alemayehu Kassahun, Ayalew Bekele Yohannes, Habte Wurjine Teshome
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
PLOS Glob Public Health. 2022 Aug 4;2(8):e0000853. doi: 10.1371/journal.pgph.0000853. eCollection 2022.
This study aimed to Assess Factors associated with depression among heart failure patients at cardiac follow-up clinics in a government teaching hospital of Addis Ababa. A cross-sectional study design was employed to assess Factors associated with depression among 424 heart failure patients at selected public hospitals of Addis Ababa who were selected by using a systematic random sampling method from January 1 to 30, 2021 at four public hospitals. Sample was proportionally allocated for each study hospital and then data were collected by using structured-interview questionnaires. Bivariate and Multivariate logistic regression analysis was done to examine the possible predictors and variables with the statistical association of P-value of < 0.05 and a 95% confidence interval were considered. Data were gathered from heart failure patients in cardiac follow clinic with 100% response rate. Among the 424 respondents [mean age: 52.7 (SD) 17.5 years; 56.1% women], prevalence of depression was 56.1%. Among the 424 respondents [mean age: 52.7 (SD) 17.5 years; 56.1% women], prevalence of depression was 56.1%. New York Heart Association class III and IV was highly associated with depression respectively. Furthermore, poor self-care behaviours alcohol use, poor social support, poor knowledge level, were associated with depression and statistically significant. The findings from this study showed that depression is highly prevalent among heart failure patients and age of respondent, alcohol intake, self-care behaviour, social support, knowledge level, and co-morbidity were independently associated with depression. Therefore, all institutions of cardiac centre should work on screening for depression in heart failure patients, and consult psychiatrists and psychologists for early detection and measures.
本研究旨在评估亚的斯亚贝巴一家政府教学医院心脏随访诊所中心力衰竭患者抑郁相关因素。采用横断面研究设计，于2021年1月1日至30日在亚的斯亚贝巴选定的四家公立医院，运用系统随机抽样方法选取424名心力衰竭患者，评估其抑郁相关因素。样本按比例分配至各研究医院，然后使用结构化访谈问卷收集数据。进行双变量和多变量逻辑回归分析，以检验可能的预测因素和变量，P值<0.05且95%置信区间被视为具有统计学关联。数据从心脏随访诊所的心力衰竭患者中收集，应答率为100%。在424名受访者中（平均年龄：52.7（标准差）17.5岁；56.1%为女性），抑郁症患病率为56.1%。纽约心脏协会III级和IV级分别与抑郁症高度相关。此外，自我护理行为差、饮酒、社会支持差、知识水平低与抑郁症相关且具有统计学意义。本研究结果表明，抑郁症在心力衰竭患者中高度普遍，受访者的年龄、酒精摄入量、自我护理行为、社会支持、知识水平和合并症与抑郁症独立相关。因此，心脏中心的所有机构都应致力于对心力衰竭患者进行抑郁症筛查，并咨询精神科医生和心理学家以进行早期发现和采取措施。
