The effect of hypertension in people diagnosed with depression in primary health center clinics in Al-Khobar, Saudi Arabia

• Autor(a) principal: Al-Harbi, Latifa Saleh Dawi
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10362/52376
• topic: Depression; Hypertension; Primary Health Care Centers; Saudi Arabia; Ciências Médicas

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.