Prevalence and Determinants of Depression among Type 2 Diabetic Patients at UNRWA Healthcare Centers in Gaza Strip

الموضوعات

طب

الملخص

Around 9% of the world populations are currently living with diabetes mellitus. Depression is a significant contributor to the global burden of disease; it wasestimatedto affect 350 million people. Moreover, it may be an important barrier for an effective diabetes management. In Palestine, political instability, low quality of life, high degree of poverty, unemployment and high daily psychological stress increase the prevalence of depression among Palestinians. This study explores the prevalence and determinants of depression among diabetic patients at UNRWA healthcare centers in Gaza Governorates.The design of this study is a descriptive, analytical, cross-sectional design. One stratified proportional sampling method was followed,using a random sampling method to select six UNRWA healthcare centers which were targeted within the research. In addition, this study depended on quantitative method in which 360 participants perfectly completed the interview questionnaire with a response rate of 96.5%. The General Health Questionnaire 12 which is an international scale was used to determine the prevalence of depression with a cut point of 4 or more for suspicion of depressionamong type II diabetic patients. Also, another interview questionnaire was used to indicate the determinants of depression among participants. The questionnaire included demographic and socioeconomic position. It also included health factors and patients' beliefs variables. Theresults showed that the overall prevalence of depression among diabetic participants who scored 4 or more of General Health Questionnaire 12 was 30.8%. Inferential analysis showed that the prevalence of depression was the highest among singles 80% whereas the divorcedpatients had elicited the lowest 16.7%. in addition, the findings showed that unemployed patients had more risks for depression with an average of 36.6% .Also, the results indicated that the participants with high educational level were less susceptible for depression with a rate of 24%. Moreover, there was a significant correlation between depression and the monthly average income in which the prevalence of depression was the lowest among the participantswith high monthly income with a rate of 15.4%. Thefindings indicated that there were a significant correlation between the controlled status of diabetes mellitus and depression as uncontrolled participants with high HbA1c were more depressed with a rate of 39.5%. Additionally, the results showed that there were a significant positive correlation between depression and smoking as the prevalence of depression was the highest among smokers with an average of 42.4%. On the other hand, depressionwas the lowest among participants who were working in health field with a rate of 15.6%. Regarding health education, the findings showed that the prevalence of depression was higher among participants whodid not receive health education sessions compared with the ones who received it with a rate of 56.7%. Furthermore,most of the depressed patientsbelieved that the cause of diabetes mellitus is due to sadness or psychological shock with a rate of 36%. The prevalence of depression was the lowest among the participants who considered the cause of disease is the hereditywith a rateof 24%. Thefindings indicated that, the prevalence of depression was higher among the participantswho were not able to cope with diabetes with the rate of 67%. Finally, there were no significant correlations between depression and gender, type of treatment, life style and compliance with treatment.The study recommended that Integration and expansion of mental health program at primary healthcare centers as the main component of health services by healthcare providers sectors.

روابط وملفات

التعريف والنوع

رقم الوثيقة

fe7dd494-574e-47df-ade5-12e69d43958a

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1696224_1.pdf

بيانات النشر

ترجمة العنوان

مدى انتشار ومحددات الاكتئاب لمرضى السكري- قطاع غزة

ألقاب المؤلفين

[{"name_ar":"احمد الحواجري","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"محمد سعيد اسماعيل موسى","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

English

المصدر والدورية

اسم المصدر

Prevalence and Determinants of Depression among Type 2 Diabetic Patients at UNRWA Healthcare Centers in Gaza Strip

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

احمد الحواجري

الإعداد

محمد سعيد اسماعيل موسى

الاقتباسات الببليوغرافية