Date of Award
11-10-2023
Document Type
Dissertation
Degree Name
Master of Science in Nursing (MScN)
First Supervisor/Advisor
Dr, Salma Rattani
Department
School of Nursing and Midwifery, Pakistan
Abstract
Background: Approximately 17.3 million individuals across the globe lose their lives to cardiovascular diseases (CVD), with a majority of these cases occurring in low-to-middle-income countries. The incidence of cardiovascular disease in Pakistan is 918 cases per 100,000 individuals. Depression frequently impacts the health, expenses, and prognosis of patients with cardiovascular disease.
Purpose: This study aimed to determine the prevalence of depression among CVD patients at Aga Khan University Hospital, Karachi, and explore the influence of co-morbidities, marital status, age, and educational background on one's status, regarding depression.
Method: A quantitative descriptive cross-sectional study was conducted at the Aga Khan University Hospital, involving CVD patients admitted to the cardiology unit and those attending cardiac clinics.
Findings: The study included 234 participants, with a notable representation of individuals aged 60 to 70 years (34.2%), predominantly males (67.5%), and from the Sindh region (84.2%). Educational diversity was observed, with 29.9% holding graduate degrees and 17.5% holding master's degrees. Depression prevalence was 28 percent and was significantly higher among single participants. Moreover, the prevalence of depression showed a significant difference based on gender, with a higher prevalence among females (p=0.025). No significant differences were found regarding cardiovascular disease type, comorbid conditions, or residence location (p>0.05). However, a significance was observed in education level (p=0.002), indicating that primary education was a risk factor (OR=4.283, 95% CI: 1.434-12.798). Additionally, age showed varying associations, with individuals below 40 years of age having higher odds of depression (OR: 1.179, CI: 0.351-3.955, p:0.022).
Conclusion: The study explores depression among patients with cardiovascular disease in Karachi, Pakistan, emphasizing the need for tailored interventions for high-risk groups like singles and those with lower education levels. It underscores the importance of managing depression to improve patient well-being and clinical outcomes, thereby enhancing the understanding of the complex relationship between cardiovascular diseases and depression.
Recommended Citation
Ghafoor, F. (2023). Prevalence of depression in patients with cardiovascular diseases (Unpublished master's dissertation). Aga Khan University, Karachi, Pakistan.