ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Frequency of anxiety and depression, and affecting factors in inpatients in cardiology intensive care unit
Ruhuşen Kutlu1, Derya Işıklar-Özberk1, Hasan Gök2, Nur Demirbaş1
1Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Konya, Türkiye
2Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Konya, Türkiye
DOI : 10.5606/tgkdc.dergisi.2016.13227
Background: This study aims to evaluate the frequency of anxiety and depression, as well as affecting factors, in inpatients at the Cardiology Intensive Care Unit.

Methods: This cross-sectional, analytical study included 245 inpatients (148 males, 97 females; mean age 63.5±13.8 years; range 20 to 98 years). All patients were administered a sociodemographical data form and hospital anxiety and depression scale. Smoking dependence was evaluated with the Fagerstrom test for nicotine dependence.

Results: Of current smoker patients, the mean Fagerstrom dependence score was 5.6±1.9 (range 1 to 10) and 40% was in the middle level of dependency. Of male patients, 45.9% and 17.6% were followed-up with diagnoses of myocardial infarction and unstable angina pectoris, respectively. Of female patients; 30.9%, 26.8%, and 22.7% were followed-up with diagnoses of arrhythmia, myocardial infarction, and heart failure, respectively. Of the patients, 53.9% (n=132) and 86.1% (n=211) were found to have anxiety and depression, respectively. No significant relationship was detected between age, economic status, and smoking status and anxiety and depression scores (p>0.05). Anxiety scores in married patients (11.6±4.3) were significantly higher than those of not married patients (9.8±3.7) (p=0.008). Anxiety and depression scores were significantly higher in employed individuals (11.6±4.2 vs 10.0±4.0; p=0.013) (12.0±3.8 vs 9.7±3.9; p<0.001), primary school and lower educated individuals (11.7±4.3 vs 10.1±3.9; p=0.009) (12.2±3.9 vs 9.8±3.7; p<0.001), and female gender (12.1±4.6 vs 10.6±3.8; p=0.005) (12.3±4.2 vs 11.0±3.8; p=0.009), respectively.

Conclusion: Anxiety and depression are common problems seen in inpatients in cardiology intensive care unit. Patients should be assessed by clinicians holistically in terms of biopsychosocial aspects. Detection of depression levels and related factors may facilitate adherence to treatment, reduce anxiety, and improve quality of life.

Keywords : Cardiology intensive care unit; cigarette; Hospital Anxiety and Depression Scale
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