Anxiety and depression status of patients with heart failure

Öz

Objective: Heart failure (HF) is characterized by chronic, progressive impairment of cardiac functions and is associated with high mortality and morbidity. Psychological symptoms such as depression and anxiety are common among patients with HF and related to mortality, poor function, and treatment adherence failure. In this study we aimed to screen the depression and anxiety symptoms among patients with HF.
Materials and methods: In this cross-sectional, observational study, the Hospital Anxiety and Depression Scale (HAD) was used. A total number of 140 patients diagnosed with HF (94 male, 46 female) under follow-up for at least one year were enrolled into study. Statistical analyses were performed using SPSS.
Results: The mean depression score was 9.5±3.9, and the mean anxiety score was 8.9±4.1. According to the cut-off scores, 74% of the patients had depressive symptoms, whereas 39% of the patients regarded as having anxiety symptoms. The depression and anxiety scores were significantly higher in NYHA Class 3-4 patients compared with those in NYHA Class 1-2. There is positive correlation between duration of disease and depression scores. Patients sleeping less than 6 hours had higher level of depression and anxiety scores.
Conclusion: The present study provides evidence of high prevalence rates of depression and anxiety symptoms in patients with HF. This study might guide us to psychological or medical treatment for psychological disorders among patients with HF.

Anahtar Kelimeler

• Depression
• anxiety
• heart failure
• Hospital Anxiety and Depression scale (HAD)

Kalp yetersizliği hastalarında depresyon ve anksiyete

Öz

Amaç: Kalp yetersizliği, kalp fonksiyonlarının kronik, ilerleyici bozukluğu ile karakterize, yüksek mortalite ve morbiditesi olan bir durumdur. Depresyon ve anksiyete gibi psikolojik semptomlar kalp yetersizliği hastalarında sık görülmekle birlikte, mortalite, fonksiyon bozukluğu ve tedaviye uyum zorluğu gibi sorunlarla da ilişkilidir. Bu çalışmada, kalp yetersizliği hastalarında depresyon ve anksiyete semptomlarını araştırmayı planladık.
Gereç ve yöntem: Bu kesitsel gözlem çalışmasında Hastane Anksiyete ve Depresyon Ölçeği (HAD) kullanılmıştır. Kalp yetersizliği tanılı toplamda 140 hasta (94 erkek, 46 kadın) çalışmaya dahil edilmiştir. İstatistiki analiz için SPSS programı kullanılmıştır.
Bulgular: Ortalama depresyon skoru 9,5±3,9 ve ortalama anksiyete skoru 8,9±41 bulundu. Kesme puanı değerlerine göre hastaların %74’ünde depresyon ve %39’unda anksiyete semptomu saptandı. Depresyon ve anksiyete skoru NYHA sınıf 3-4’te diğer sınıflara göre daha yüksek bulundu. Hastalığın süresi ile depresyon arasında pozitif korelasyon saptandı. Hastaların %45’inde aynı zamanda Diabetes Mellitus (DM) tespit edildi. Günde 6 saatten az uyuyan hastaların depresyon ve anksiyete skorları daha yüksek bulundu.
Sonuç: Çalışmamızda, kalp yetersizliği olan hastalarda yüksek oranda depresyon ve anksiyete semptomu saptanmıştır. Bu sonuçlar, kalp yetersizliği olan hastaların psikolojik semptomları için tedavi gereksinimi olduğunu göstermektedir.

Anahtar Kelimeler

• Depresyon
• anksiyete
• kalp yetersizliği
• Hastane Anksiyete ve Depresyon Ölçeği (HAD)

Kaynakça

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