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Depression of chronic medical inpatients in China
Jingping Zhang1, Man Ye, Haishan Huang
1Nursing School of the Central South University, No. 172 Tongzipo Road, Changsha, Hunan, China. jpzhang1965@163.com
Insights
Depression is highly prevalent in Chinese adults with chronic diseases like cardiovascular disease and diabetes. Psychological nursing is crucial for managing unrecognized depression in these patients.
Area of Science:
- Medical Psychology
- Public Health
- Cardiology
Background:
- Major depression rates are rising in adults with chronic diseases.
- Depression diagnosis is frequently overlooked in China.
- Chronic conditions significantly impact mental well-being.
Purpose of the Study:
- To determine the prevalence of depression in hospitalized patients with cardiovascular disease, diabetes, and chronic pulmonary heart disease.
- To evaluate the extent of unrecognized depression within this patient population.
Main Methods:
- Assessed depression levels in inpatients diagnosed with cardiovascular disease, diabetes, and chronic pulmonary heart disease.
- Analyzed depression incidence across different demographic and disease-related factors.
Main Results:
- A high prevalence of depression (78.9%) was observed in patients with pulmonary heart disease, diabetes, hypertension, or coronary heart disease.
- No significant differences in depression incidence were found based on gender, age, education, marital status, or disease duration.
- The overall incidence rate of depression and its varying levels did not differ significantly among the three patient groups.
Conclusions:
- Depression is widespread among hospitalized patients with common chronic diseases in China.
- Current diagnostic practices may be failing to identify a significant number of depressed patients.
- Implementing psychological nursing interventions is essential for addressing depression in patients with chronic illnesses.
Abstract:
Odds of major depression have significantly increased among adults with chronic diseases. However, the diagnosis of depression is often unrecognized in China. To know the prevalence of depression in medical inpatients with different chronic diseases and to assess the level of unrecognized depression among hospitalized patients, we assessed depression in patients with cardiovascular disease, diabetes, and chronic pulmonary heart disease. In this study, it has been shown that 78.9% of patients with pulmonary heart disease, diabetes, hypertension, or coronary heart disease have different levels of depression. There were no significant differences in incidence of depression among different gender, age, education levels, marital status, or course of disease. There were no significant differences in total incidence rate of depression and in incidence rate of different levels of depression among the three groups of patients. It is very important to help patients with chronic diseases to reduce their depression by psychological nursing after evaluating their mental status.
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