Yaşlılarda Depresyon ile Antihipertansif İlaç Uyumu İlişkisi

Amaç: Araştırma hipertansiyonu olan yaşlı hastalarda depresyon varlığının belirlenmesi ve tedaviye uyumu ile ilişkisinin değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve korelasyonel nitelikte olan araştırmanın örneklemini antihipertansif ilaç kullanan 65 yaş ve üzeri 334 hasta oluşturmuştur. Veriler, antihipertansif ilaç tedavisine uyum ölçeği ve geriatrik depresyon ölçeği kullanılarak toplanmıştır. Bulgular: Araştırmaya katılan hastaların %58,4’ü antihipertansif ilaç tedavisine uyum ölçeğinden aldıkları puana göre uyumsuz olarak değerlendirilmiştir. Hastaların uyum ölçeğinden aldıkları puan ortalaması 7,29 ± 2,65 olarak bulunmuştur. Araştırma kapsamına alınan hastaların %39,5’inin depresyon ölçeğinden aldıkları puan ortalamasına göre hafif derecede depresyonda olduğu bulunmuştur. Depresyon ölçeğinden alınan puan ortalaması 6,70 ± 3,44 olarak bulunmuştur. Araştırmaya katılan hastaların yaşı arttıkça antihipertansif ilaç tedavisine uyum ölçeğinden aldıkları puanın arttığı, aralarında zayıf düzeyde pozitif yönde anlamlı bir ilişki olduğu bulunmuştur (r=0,113, p=0,038). Sonuç: Sonuç olarak yaşlılarda tedaviye uyum ile depresyon düzeyleri arasında ilişki bulunmaktadır. Yaşlı hastaların yaşı arttıkça tedaviye uyum düzeyleri azalmakta ve depresif belirtileri artmaktadır. Bu nedenle sağlık profesyonellerinin hipertansiyon gibi kronik hastalığı olan yaşlılarda depresyon belirtilerini rutin olarak değerlendirmesi gerekmektedir.

Anahtar Kelimeler:

Depresyon, hipertansiyon, ilaç uyumu, yaşlı

Relationship between Depression and Antihypertensive Medication Adherence in the Elderly

Aim: This study was conducted to determine the presence of depression in elderly patients with hypertension and to evaluate its relationship with treatment adherence. Material and Methods: The sample of this descriptive and correlational study consisted of 334 patients with aged 65 and over which using antihypertensive drugs. Data were collected using the hypertension compliance assessment scale and the geriatric depression scale. Results: 58.4% of the patients participating in the study were evaluated as incompatible according to the score they got from the hypertension compliance assessment scale. The mean score that the patients got from the compliance scale was found as 7.29 ± 2.65. 39.5% of the patients included in the study were found to be mildly depressed compared to the average score they got from the depression scale. The mean score obtained from the depression scale was found to be 6.70 ± 3.44. As the age of the patients participating in the study increased, it was found that the score which they got from the hypertension compliance assessment scale increased, and there was a weakly positive significant relationship between them (r = 0.113, p = 0.038). Conclusion: As a result, there is a relationship between treatment compliance and depression levels in the elderly. As the age of elderly patients increases, their level of compliance with treatment decreases and their depressive symptoms increase. Therefore, healthcare professionals should routinely evaluate the symptoms of depression in the elderly with chronic diseases such as hypertension.

Keywords:

Depression, hypertension, medication adherence, aged,

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