Alagbonsi Abdullateef Isiaka, Manishimwe Clothilde, Serge Muhirwa, Agahozo Divine Aimee, Tito Shema
Department of Physiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Huye, Southern Province, Republic of Rwanda.
Department of Primary Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Republic of Rwanda.
Diabetes Metab Syndr Obes. 2025 Sep 4;18:3249-3258. doi: 10.2147/DMSO.S539308. eCollection 2025.
While psychological stress cannot be dissociated from chronic diseases, the extent to which it impacts the management of chronic diseases is poorly understood. This cross-sectional study investigated the prevalence and impact of psychological stress among Rwandan patients with chronic diseases, particularly hypertension, heart failure, malignancies, diabetes, and kidney failure.
This cross-sectional study was conducted among internal medicine patients receiving treatment for chronic diseases at the University Teaching Hospital of Kigali (n = 81) and the University Teaching Hospital of Butare (CHUB) (n = 78) between May 1 and June 30, 2024.
There was a very high prevalence of psychological stress (91.8%) among Rwandan patients with various forms of chronic diseases. Despite the regular monitoring of their disease progression by their healthcare providers (92.4%) and compliance with their medication (89.9%) and dietary (89.3%) regimens, many of them still experienced frequent complications (96.8%) and worsening outcomes (95.5%), though there was an improvement in symptoms (94.3%). Furthermore, there was a weak relationship between the severity of psychological stress experienced by patients with chronic diseases and their treatment outcomes. Finally, patients with heart failure (<0.001), hypertension (<0.001), diabetes (<0.001), and malignancies (<0.001) experienced higher levels of psychological stress.
Hypertension, heart failure, malignancies, and diabetes, but not kidney failure, predict psychological stress among Rwandan patients.
虽然心理压力与慢性疾病无法分开，但人们对其对慢性病管理的影响程度知之甚少。这项横断面研究调查了卢旺达慢性病患者，特别是高血压、心力衰竭、恶性肿瘤、糖尿病和肾衰竭患者的心理压力患病率及其影响。
这项横断面研究于2024年5月1日至6月30日在基加利大学教学医院（n = 81）和布塔雷大学教学医院（CHUB）（n = 78）接受慢性病治疗的内科患者中进行。
卢旺达患有各种慢性病的患者中，心理压力患病率非常高（91.8%）。尽管医疗服务提供者对他们的疾病进展进行了定期监测（92.4%），他们也遵守了药物治疗（89.9%）和饮食（89.3%）方案，但他们中的许多人仍然经常出现并发症（96.8%），病情恶化（95.5%），尽管症状有所改善（94.3%）。此外，慢性病患者所经历的心理压力严重程度与他们的治疗结果之间关系较弱。最后，心力衰竭（<0.001）、高血压（<0.001）、糖尿病（<0.001）和恶性肿瘤（<0.001）患者经历的心理压力水平更高。
高血压、心力衰竭、恶性肿瘤和糖尿病，而非肾衰竭，可预测卢旺达患者的心理压力。
