Evaluation of Perceived Stress and Depression Levels and Medication Adherence of Hypertension and Diabetes Patients

Yıl 2023, Cilt: 10 Sayı: 2, 85 - 93, 31.08.2023

Merve Güneysu , Arzu Ayraler

https://doi.org/10.56941/odutip.1317409

Öz

Objective: The aim of this study was to determine the perceived stress and depression level of diabetes and hypertension patients who applied to the family medicine outpatient clinic and to investigate its relationship with the treatment compliance of the patients.
Methods: A total of 201 people over the age of 18 who were followed up in the family medicine outpatient clinic with the diagnosis of Hypertension and Diabetes were included in the study. The study consisted of three different groups of hypertension patients, diabetes patients and healthy volunteers. Beck Depression Scale, Perceived Stress Scale, Morisky Medication Adherence Scale-8 and sociodemographic data questionnaire were administered to the participants by face-to-face interview technique.
Results: In our study, depression and perceived stress scores were lower in the healthy group compared to the other groups (p<0.05). Morisky medication adherence scale scores were 5.7±2.18 and 5.39±2.29 in the HT and DM patient groups, respectively, and 46.3% had a low compliance score. Factors such as education level, presence of additional disease, dietary compliance, physical activity status, and smoking were found to play an active role in medication compliance (p<0.05). It was observed that patients with high depression and stress scores had low adherence to medication adherence (p<0.001).
Conclusion: Hypertensive and diabetic patients with high depression and perceived stress scores were found to have low adherence to medication adherence.

Anahtar Kelimeler

Diabetes Mellitus, Hypertension, Medication Adherence

Proje Numarası

Yoktur

Hipertansiyon ve Diyabet Hastalarının Algılanan Stres ve Depresyon Düzeyleri ile İlaç Uyumlarının Değerlendirilmesi

Öz

Amaç: Bu çalışmada; aile hekimliği polikliniğine başvuran diyabet ve hipertansiyon hastalarının algılanan stres ve depresyon düzeyini belirleyerek, bunun hastaların tedavi uyumu ile olan ilişkisini araştırmak amaçlanmıştır.
Metod: Çalışma, Ekim-Aralık 2022 tarihleri arasında Aile Hekimliği polikliniğine başvuran 201 kişi ile gerçekleştirilmiştir. Hipertansif hastalar, diyabetik hastalar ve sağlıklı gönüllülerden oluşan üç farklı grup çalışmaya dahil edilmiştir. Katılımcılara Beck Depresyon Ölçeği, Algılanan Stres Ölçeği, Morisky İlaç Uyum Ölçeği-8 ve sosyodemografik veri anketi yüz yüze görüşme tekniği ile uygulanmıştır.
Bulgular: Çalışmamızda sağlıklı grupta depresyon ve algılanan stres skoru diğer gruplara göre düşük bulundu (p<0,05). Morisky tedavi uyum ölçeği puanları HT ve DM hasta grubunda sırasıyla 5,7±2,18 ve 5,39±2,29 olup, %46,3’ünün uyum skoru düşük bulundu. Eğitim düzeyi, ek hastalık varlığı, diyet uyumu, fiziksel aktivite yapma durumu, sigara kullanımı gibi faktörlerin bireylerde tedavi uyumunda etkin rol aldığı saptandı (p<0,05). Depresyon ve stres skoru yüksek olan hastaların ilaç tedavisine düşük uyum gösterdikleri görüldü (p<0,001).
Sonuç: Depresyon ve algılanan stres skoru yüksek olan hipertansif ve diyabetik bireylerin ilaç tedavisine uyumunun düşük olduğu saptanmıştır. Bu nedenle özellikle birinci basamakta tedavi uyumunu etkileyebilecek olası depresyon, stres gibi durumların sorgulanması açısından ruhsal tarama ölçeklerinin kullanılması büyük önem arz etmektedir.

Anahtar Kelimeler

Diabetes Mellitus, Hipertansiyon, Depresyon, Algılanan Stres, Tedavi Uyumu

Destekleyen Kurum

Yoktur

Proje Numarası

Yoktur

Kaynakça

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