Ngôn ngữ sử dụng
Cách trích dẫn
Tải xuống
Tóm tắt
Objectives: This study aimed to assess the severity of depressive symptoms and identify factors associated with depressive symptoms among hypertensive patients at the Cardiology Department, Vietnam-Cuba Friendship Hospital, Dong Hoi, Quang Binh.
Participants and Method: A cross-sectional descriptive study was conducted among 294 hypertensive patients aged ≥18 years, who had been diagnosed and treated for at least three months based on the Vietnamese classification of hypertension. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depressive symptoms. Statistical analyses were performed using SPSS version 16.0, with t-tests and ANOVA applied to examine associations between depression symptoms and relevant factors (p < 0.05 was considered statistically significant).
Results: The findings revealed that 46.5% of hypertensive patients exhibited depressive symptoms, with an average PHQ-9 score of 10.11 ± 5.13. Among them, 26.5% had mild depressive symptoms, 13.9% had moderate symptoms, and 6.1% had severe depression. Significant factors associated with depressive symptoms included age, gender, marital status, duration of hypertension treatment, and comorbidities (p < 0.05).
Conclusion: Nearly one in two hypertensive patients exhibited depressive symptoms, with the average severity classified as mild. These findings emphasize the importance of integrating routine depression screening into hypertensive patient care. Healthcare providers, especially nurses, should actively monitor the psychological well-being of hypertensive patients and implement targeted interventions to enhance overall patient outcomes.
Từ khóa
Tài liệu tham khảo
Khan M, Javed I, Ahmed A, et al. Prevalence and Predictors of Depression Amongst Hypertensive Individuals in Karachi, Pakistan.2017 Jun 26;9(6):e1397. doi: 10.7759/cureus.1397.
Malhi GS, Mann JJ. Depression. Lancet. 2018;392(10161):2299-2312.10.1016/S0140-6736(18)31948-2.
Hu T, Zhao X, Wu M, Li Z, Luo L, Yang C, et al. Prevalence of depression in older adults: A systematic review and meta-analysis. Psychiatry Research. 2022;311:114511.https://doi.org/10.1016/j.psychres.2022.114511.
Huynh Van Minh, Tran Van Huy. Recommendations on diagnosis and treatment of hypertension. Vietnam National Heart Association. 2018.
Nguyen Lan Viet. The alarming situation of Hypertension in Vietnam: Ministry of Health’s electronic information portal; 2017 [updated 18/05/2017].
Boukhari FZ, Belayachi S, Essayagh F, Terkiba O, Naji AA, Amine M, et al. Self-reported depression and its risk factors among hypertensive patients, Morocco: a cross-sectional study. Scientific Reports. 2024;14(1):11196. doi: 10.1038/s41598-024-61390-y.
Xue J, Chen S, Bogner HR, Tang W, Li L, Conwell Y. The prevalence of depressive symptoms among older patients with hypertension in rural China. Int J Geriatr Psychiatry. 2017;32(12):1411-7. doi:10.1002/gps.4628.
Nguyen Van Thong, Nguyen Thang, Hoang Minh Tu, Tran Thien Thang, Doan Huu Nhan, Nguyen Thai Thong, et al. Overview of depressive disorders in hypertensive patients. Can Tho Journal of Medicine and Pharmacy. 2022;45:213-221.https://tapchi.ctump.edu.vn/index.php/ctump/article/view/1014
Nguyen Ba Nam, Nguyen Tan Dat, Tran Hoang Duy. Prevalence and Associated Factors of Depression in Hypertensive Patients in Can Tho City (2017-2018). Vietnam Journal of Cardiology. 2021;93:113-121.https://jvc.vnha.org.vn/tmh/article/view/188.
Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. Jama. 1999;282(18):1737-44. doi: 10.1001/jama.282.18.1737.
Ly Thi Phuong Hoa, Vo Tan Son, Berbiglia. Rate of depression in hypertensive outpatients at Nguyen Tri Phuong Hospital. Ho Chi Minh City Medical Journal. 2010;14(4).
Ademola AD, Boima V, Odusola AO, Agyekum F, Nwafor CE, Salako BL. Prevalence and Determinants of Depression among Patients with Hypertension: A Cross-Sectional Comparison Study in Ghana and Nigeria. Nigerian Journal of Clinical Practice. 2019;22(4). doi: 10.4103/njcp.njcp_351_18
Li Z, Li Y, Chen L, Chen P, Hu Y. Prevalence of Depression in Patients With Hypertension: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2015;94(31):e1317. doi: 10.1097/md.0000000000001317.
Stanetic K., et al. Prevalence of depression in patients with hypertension. International Journal of Medical and Health Research. 2017;3(2):192-203.
Ashok VG, Ghosh SS. Prevalence of Depression among Hypertensive Patients Attending a Rural Health Center in Kanyakumari. National Journal of Community Medicine. 2019;10(03)):172–5.https://njcmindia.com/index.php/file/article/view/479.
Dutta A, Chaudhary V, Gupta AK, Murti K, Kumari S, Dhir D, et al. Prevalence of depression in hypertensive patients and its associated factors in India: A systematic review and meta-analysis. Hipertensión y Riesgo Vascular. 2024;41(4):217-25. https://doi.org/10.1016/j.hipert.2024.05.003.
Ofori SN, Adiukwu FN. Screening for Depressive Symptoms among Patients Attending Specialist Medical Outpatient Clinics in a Tertiary Hospital in Southern Nigeria. Psychiatry J. 2018;2018:7603580. doi: 10.1155/2018/7603580.
Albasara SA, Haneef MS, Zafar M, Moinuddin KG. Depression and associated risk factors among hypertensive patients in primary health care centers in Dammam, Kingdom of Saudi Arabia. Pan Afr Med J. 2021;38:278. doi: 10.11604/pamj.2021.38.278.27133.
Hamrah MS, Hamrah MH, Ishii H, Suzuki S, Hamrah MH, Hamrah AE, et al. Anxiety and Depression among Hypertensive Outpatients in Afghanistan: A Cross-Sectional Study in Andkhoy City. Int J Hypertens. 2018;2018:8560835. doi: 10.1155/2018/8560835.
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại 4.0 International Giấy phép .
Bản quyền (c) 2025 Tạp chí Khoa học Điều dưỡng