The effect of hypertension in people diagnosed with depression in primary health center clinics in Al-Khobar, Saudi Arabia / Latifa Saleh Dawi Al-Harbi
Main Author Al-Harbi, Latifa Saleh Dawi Secondary Author Kolkiewicz, Lucja Language Inglês. Publication Lisboa : NOVA Medical School, 2018 Description 54 p. Abstract ABSTRACT: Introduction: In Saudi Arabia, both hypertension and depression are a major health problem and comorbidity is not rare. Depressive symptoms have been shown to be strong independent predictors of cardiac mortality more than hypertension alone (2). The aim of this study is to assess the effect of hypertension on Primary Health Care (PHC) depressive patients to determine the relationship between these comorbid medical conditions and determine if one hinders the management of the other . Method: This cross-sectional survey of 185 PHC patients was conducted in AL Khobar City, Kingdom of Saudi Arabia from March 01, 2017 to April 01, 2017, using a self-administered questionnaire and medical record (files) review of all patients who completed the questionnaire. Results: Fifty eight (31%) out of 185 participants, were diagnosed with comorbid depression with hypertension. The mean age of total participants was 44.7 ± 11.6. The depressive patients with hypertension were older than who hasn't hypertention with significant value (p-value 0.011) a quarter of them were illiterate, 20(34,5%). Patients who only finished primary level of education or less were more prone to depression with hypertension with p-value 0.047 which is significant. As regards BMI, SBP, and DBP of the hypertensive participants was 33.7 ± 11.6, 134.5 ± 15.8, and 82.4 ± 11.2, respectively which is highly significant. Meanwhile, BMI, SBP, and DBP in the depressive participants without hypertension was 29.7 ± 6.6, 119 ±14.9, and 72.3 ± 8, respectively which is highly significant. The Odds ratio of feeling tired among depression with hypertension is 2.136 times more than the depression without hypertension with Confidence Interval (CI) (1.118 – 4.081). The Odds ratio of loss of appetite among depression with hypertension is 1.959 times more than the depression without hypertension with Confidence Interval (CI) (1.045 – 3.674). Conclusion: Age and being illiterate have a significant relation with depression and hypertension. Also greater role was found to be related to multiple factors associated with depression and hypertension DPB,SBP and BMI. Further study with a larger sample to assess the relation between uncontrol hypertension and the level of depression is recommended. Topical name DepressionHypertension
Psychiatric Rehabilitation
Saudi Arabia
Academic Dissertation Index terms Dissertação de Mestrado
Cuidados Primários de Saúde Mental
Universidade NOVA de Lisboa
NOVA Medical School
2018 CDU 616 Online Resources Click here to access the eletronic resource http://hdl.handle.net/10362/52376 List(s) this item appears in: Teses NL
| Item type | Current location | Call number | url | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Monografia | Biblioteca NMS|FCM | HAR1 TeseM-2018 | http://hdl.handle.net/10362/52376 | Presencial/Restrito | 20210136NL |
ABSTRACT: Introduction: In Saudi Arabia, both hypertension and depression are a major health problem and comorbidity is not rare. Depressive symptoms have been shown to be strong independent predictors of cardiac mortality more than hypertension alone (2). The aim of this study is to assess the effect of hypertension on Primary Health Care (PHC) depressive patients to determine the relationship between these comorbid medical conditions and determine if one hinders the management of the other . Method: This cross-sectional survey of 185 PHC patients was conducted in AL Khobar City, Kingdom of Saudi Arabia from March 01, 2017 to April 01, 2017, using a self-administered questionnaire and medical record (files) review of all patients who completed the questionnaire. Results: Fifty eight (31%) out of 185 participants, were diagnosed with comorbid depression with hypertension. The mean age of total participants was 44.7 ± 11.6. The depressive patients with hypertension were older than who hasn't hypertention with significant value (p-value 0.011) a quarter of them were illiterate, 20(34,5%). Patients who only finished primary level of education or less were more prone to depression with hypertension with p-value 0.047 which is significant. As regards BMI, SBP, and DBP of the hypertensive participants was 33.7 ± 11.6, 134.5 ± 15.8, and 82.4 ± 11.2, respectively which is highly significant. Meanwhile, BMI, SBP, and DBP in the depressive participants without hypertension was 29.7 ± 6.6, 119 ±14.9, and 72.3 ± 8, respectively which is highly significant. The Odds ratio of feeling tired among depression with hypertension is 2.136 times more than the depression without hypertension with Confidence Interval (CI) (1.118 – 4.081). The Odds ratio of loss of appetite among depression with hypertension is 1.959 times more than the depression without hypertension with Confidence Interval (CI) (1.045 – 3.674). Conclusion: Age and being illiterate have a significant relation with depression and hypertension. Also greater role was found to be related to multiple factors associated with depression and hypertension DPB,SBP and BMI. Further study with a larger sample to assess the relation between uncontrol hypertension and the level of depression is recommended.
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