Abstract:
Background: Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel the way you think and how you act. It is different from usual mood fluctuations and short lived emotional responses to challenges in day to day life. It can lead to a variety of emotional and physical problems and can result in poor performan. Depression is a significant contributor to the global burden of disease and affects people in all communities across the world. Depression is the leading cause of disability worldwide in terms of total years lost due to disability.
Objectives: To assess the prevalence of depression and associated factors among diabetes mellitus and hypertensive client Follow up in Debre Berhan Referral Hospital, North Showa, Amhara region, ethiopia2019.
Methods: An institution based cross-sectional quantitative study was conducted among DM and Hypertensive clients attending in outpatient department of Debre Berhan Referral Hospital. Two trained data collectors and one supervisor were involved in the data collection process. Pretested standardized Semi-structured questionnaires was used to collect data from the respondents by interviewing. Sistematic random sampling technique was employed. Data was collected from February 2019 to March 2019. Data was entered in to the computer using EPI-Info version 7 and analysed using SPSS version 22. Further data analysis was done using descriptive statistics to generate proportion, also use PHQ-9 to assess Depression. Bivariate and multiple logistic regression analysis was done to determine factors associated with the magnitude of Depression. Odds ratio with 95% confidence intervals and statistical significance α= 0.05 was considered.
Results: A total of 236 respondents were interviewed with98.7% response rate. Of the total 236 respondents 138(58.5%) were female. The mean age of the participants was 50 and range from 18 to 86. 225 (95.3%) were orthodox, whereas 200(84.7%) were married and the prevalence of depression among diabetes mellitus and hypertensive were 46 (19.49%).Factors associated in depression was Type Chronic Illness, Control the illness, History of Mental Illness , Sleep disturbance and substance use the past three months.
Conclusion: From236 respondents were interviewed with98.7% response rate. Among them Type Chronic Illness, Control the illness, History of Mental Illness , Sleep disturbance and substance use the past three months were significantly associated
