Simptomi depresije pri pacientih s koronarno srčno boleznijo : magistrsko delo

Geršak, Tjaša (avtor), Masten, Robert (mentor)

Diagnostične kriterije za depresijo naj bi zadovoljilo približno 20 % bolnikov s stabilno koronarno boleznijo, še večji odstotek pacientov s koronarno boleznijo pa naj bi imel razpoloženjske težave, ki so pod diagnostično mejo (Carney in Freedland, 2008). Depresija in depresivna simptomatika je pri teh bolnikih pogosto spregledana (Ellis idr., 2005; Steptoe in Whitehead, 2005; Vaccarino idr., 2019). V naši raziskavi smo se osredotočili na koronarne srčne bolnike in prisotnost depresivne simptomatike med njimi. Zanimalo nas je, kolikšen delež koronarnih bolnikov ima diagnosticirano depresijo ter kolikšen delež bolnikov kaže simptome, ki nakazujejo na možnost klinično pomembne depresije, vendar niso deležni zdravstvene obravnave. Zanimale so nas tudi povezave med depresivno simptomatiko in vedenjskimi dejavniki tveganja (upoštevanje napotkov za jemanje zdravil, telesna aktivnost, kajenje in indeks telesne mase). V vzorec raziskave je bilo vključenih 81 udeležencev s postavljeno diagnozo koronarne srčne bolezni. Njihova starost se je gibala med 52 in 91 leti. Za ocenjevanje depresivnosti smo uporabili Beckov vprašalnik depresivnosti – druga izdaja (BDI-II). Postavili smo sklop vprašanj, ki je preverjal telesno težo in višino udeležencev (podatka sta služila za izračun indeksa telesne mase), leta postavljene diagnoze koronarne bolezni, morebitno postavljeno diagnozo depresije, upoštevanje napotkov za jemanje zdravil, pogostost fizične aktivnosti ter prisotnost kajenja. Rezultati so pokazali, da velika večina udeležencev poroča o minimalni depresivni simptomatiki. Skoraj vsi posamezniki, ki so poročali o depresivnih simptomih, ki so jih razvrstili v kategorijo blage, zmerne ali hude depresivne simptomatike, niso imeli postavljene diagnoze depresije in za le-to niso bili obravnavani. Povezave med depresivno simptomatiko ter dejavniki tveganja niso bile statistično značilne. Prav tako se depresivna simptomatika ni povezovala s spolom in starostjo.

• Jezik: Slovenski jezik
• Ključne besede: koronarna bolezen, depresivnost, telesna aktivnost, adherenca, kajenje
• Vrsta gradiva: Magistrsko delo/naloga
• Tipologija: 2.09 - Magistrsko delo
• Organizacija: FF - Filozofska fakulteta
• Kraj izida: Ljubljana
• Založnik: [T. Geršak]
• Leto izida: 2023
• Št. strani: 45 str.
• PID: 20.500.12556/RUL-150785
• UDK: 616.895.4:616.12(043.2)
• COBISS.SI-ID: 192150531
• Datum objave v RUL: 23.09.2023

GERŠAK, Tjaša, 2023, Simptomi depresije pri pacientih s koronarno srčno boleznijo : magistrsko delo [na spletu]. Magistrsko delo. Ljubljana : T. Geršak. [Dostopano 18 maj 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=150785

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Symptoms of depression in patients with coronary heart disease

Izvleček

Approximately 20 % of patients with stable coronary heart disease (CHD) meet diagnostic criteria for depression and an even greater percentage of patients will report at least a few symptoms of depression (Carney and Freedland, 2008). Depression and depressive symptoms are widely overlooked among these patients (Ellis idr., 2005; Vaccarino et. al., 2019; Steptoe and Whitehead, 2005). In our study we focused on CHD patients and the presence of depressive symptoms among them. We were interested in how many patients in our sample were diagnosed with depression and how many patients reported having depressive symptoms that might indicate clinically severe depression, but received no medical treatment. We were also interested in the differences between the presence of depressive symptoms and levels of behavioural risk factors (medication adherence, physical activity and smoking and body mass index). Our sample consisted of 81 participants with CHD, age ranging from 52 to 91 years. For the estimation of depressive symptoms we used Beck’s depression inventory – second edition (BDI-II). In our questionnaire we also collected data in regard to body weight and height (this data was used for calculating body mass index), years of established CHD diagnosis, established diagnosis of depression, medication adherence, physical activity and smoking habits. Our data showed that the majority of participants experienced minimal depressive symptoms. Almost all participants that reported experiencing depressive symptoms that would fall in category mild, moderate, or severe depression symptoms did not have established diagnosis of depression and did not receive any medical attention for their depressive symptoms. Correlations between depressive symptoms and behavioural risk factors were statistically insignificant. Depressive symptoms also did not correlate with sex and age of participants.

• Ključne besede: coronary heart disease, symptoms of depression, physical activity, medical adherence, smoking