Kardiyoloji yoğun bakım ünitesinde yatan hastalarda anksiyete ve depresyon sıklığı ve etki eden faktörler
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Tarih
2016
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada Kardiyoloji Yoğun Bakım Kliniğinde yatarak tedavi gören hastalarda anksiyete ve depresyon sıklığı ile beraber etki eden faktörler değerlendirildi. Çalışma planı: Bu kesitsel, analitik çalışmaya yatarak tedavi gören 245 hasta (148 erkek, 97 kadın; ort. yaş 63.513.8 yıl; dağılım 20-98 yıl) dahil edildi. Tüm hastalara sosyodemografik bilgi formu ve hastane anksiyete ve depresyon ölçeği uygulandı. Sigara bağımlılığı Fagerström nikotin bağımlılık testi ile değerlendirildi.Bulgular: Halen sigara içmekte olan hastaların Fagerström bağımlılık puan ortalaması 5.61.9 ve %40'ı orta bağımlılık düzeyinde idi. Erkek hastaların %45.9'u ve %17.6'sı sırasıyla miyokard enfarktüsü ve unstabil angina pektoris tanısı ile takip edilmekte idi. Kadın hastaların %30.9'u, %26.8'i ve %22.7'si sırasıyla aritmi, miyokard enfarktüsü ve kalp yetmezliği tanısı ile takip edilmekte idi. Hastaların %53.9'unda (n132) ve %86.1'inde (n211) sırasıyla anksiyete ve depresyon belirlendi. Yaş, ekonomik durum ve sigara kullanımı ile anksiyete ve depresyon puanları arasında anlamlı ilişki bulunmadı (p0.05). Anksiyete puanları evli hastalarda (11.64.3) evli olmayan hastalardan (9.83.7) anlamlı derecede daha yüksek idi (p0.008). Sırasıyla anksiyete ve depresyon puanları çalışan bireylerde (11.64.2-10.04.0; p0.013) (12.03.8-9.73.9; p0.001), ilkokul ve altı eğitimlilerde (11.74.3-10.13.9; p0.009) (12.23.9-9.83.7; p0.001) ve kadın cinsiyette (12.14.6-10.63.8; p0.005) (12.34.211.03.8; p0.009) anlamlı derecede daha yüksek idi. Sonuç: Anksiyete ve depresyon kardiyoloji yoğun bakım ünitesinde yatan hastalarda sık karşılaşılan sorunlardır. Hastalar klinisyenler tarafından biyopsikososyal özellikler yönünden bütüncül olarak değerlendirilmelidir. Depresyon düzeylerinin ve ilişkili faktörlerin tespiti tedaviye uyumu kolaylaştırabilmekte, anksiyeteyi azaltabilmekte ve yaşam kalitesini artırabilmektedir.
Background: This study aims to evaluate the frequency of anxiety and depression, as well as affecting factors, in inpatients at the Cardiology Intensive Care Unit. Methods: This cross-sectional, analytical study included 245 inpatients (148 males, 97 females; mean age 63.5±13.8 years; range 20 to 98 years). All patients were administered a sociodemographical data form and hospital anxiety and depression scale. Smoking dependence was evaluated with the Fagerstrom test for nicotine dependence. Results: Of current smoker patients, the mean Fagerstrom dependence score was 5.6±1.9 (range 1 to 10) and 40% was in the middle level of dependency. Of male patients, 45.9% and 17.6% were followed-up with diagnoses of myocardial infarction and unstable angina pectoris, respectively. Of female patients; 30.9%, 26.8%, and 22.7% were followed-up with diagnoses of arrhythmia, myocardial infarction, and heart failure, respectively. Of the patients, 53.9% (n132) and 86.1% (n211) were found to have anxiety and depression, respectively. No significant relationship was detected between age, economic status, and smoking status and anxiety and depression scores (p<0.05). Anxiety scores in married patients (11.6±4.3) were significantly higher than those of not married patients (9.8±3.7) (p0.008). Anxiety and depression scores were significantly higher in employed individuals (11.6±4.2 vs 10.0±4.0; p0.013) (12.0±3.8 vs 9.7±3.9; p>0.001), primary school and lower educated individuals (11.7±4.3 vs 10.1±3.9; p0.009) (12.2±3.9 vs 9.8±3.7; p>0.001), and female gender (12.1±4.6 vs 10.6±3.8; p0.005) (12.3±4.2 vs 11.0±3.8; p0.009), respectively. Conclusion: Anxiety and depression are common problems seen in inpatients in cardiology intensive care unit. Patients should be assessed by clinicians holistically in terms of biopsychosocial aspects. Detection of depression levels and related factors may facilitate adherence to treatment, reduce anxiety, and improve quality of life.
Background: This study aims to evaluate the frequency of anxiety and depression, as well as affecting factors, in inpatients at the Cardiology Intensive Care Unit. Methods: This cross-sectional, analytical study included 245 inpatients (148 males, 97 females; mean age 63.5±13.8 years; range 20 to 98 years). All patients were administered a sociodemographical data form and hospital anxiety and depression scale. Smoking dependence was evaluated with the Fagerstrom test for nicotine dependence. Results: Of current smoker patients, the mean Fagerstrom dependence score was 5.6±1.9 (range 1 to 10) and 40% was in the middle level of dependency. Of male patients, 45.9% and 17.6% were followed-up with diagnoses of myocardial infarction and unstable angina pectoris, respectively. Of female patients; 30.9%, 26.8%, and 22.7% were followed-up with diagnoses of arrhythmia, myocardial infarction, and heart failure, respectively. Of the patients, 53.9% (n132) and 86.1% (n211) were found to have anxiety and depression, respectively. No significant relationship was detected between age, economic status, and smoking status and anxiety and depression scores (p<0.05). Anxiety scores in married patients (11.6±4.3) were significantly higher than those of not married patients (9.8±3.7) (p0.008). Anxiety and depression scores were significantly higher in employed individuals (11.6±4.2 vs 10.0±4.0; p0.013) (12.0±3.8 vs 9.7±3.9; p>0.001), primary school and lower educated individuals (11.7±4.3 vs 10.1±3.9; p0.009) (12.2±3.9 vs 9.8±3.7; p>0.001), and female gender (12.1±4.6 vs 10.6±3.8; p0.005) (12.3±4.2 vs 11.0±3.8; p0.009), respectively. Conclusion: Anxiety and depression are common problems seen in inpatients in cardiology intensive care unit. Patients should be assessed by clinicians holistically in terms of biopsychosocial aspects. Detection of depression levels and related factors may facilitate adherence to treatment, reduce anxiety, and improve quality of life.
Açıklama
Anahtar Kelimeler
Kardiyoloji yoğun bakım ünitesi, Sigara, Hastane Anksiyete Depresyon Ölçeği, Cardiology intensive care unit, Cigarette, Hospital Anxiety and Depression Scale
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
24
Sayı
4
Künye
Kutlu, R., Demirbaş, N., Gök, H., Işıklar Özberk, D. (2016). Kardiyoloji yoğun bakım ünitesinde yatan hastalarda anksiyete ve depresyon sıklığı ve etki eden faktörler. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 24, 4, 672-679.
