Analisis Faktor-Faktor yang Berhubungan dengan Sindrom Depresif pada Pasien Penyakit Jantung Bawaan Dewasa di Instalasi Rawat Jalan Pusat Jantung Terpadu RSUP Haji Adam Malik Medan

Abstract

Background: Adult congenital heart disease is the persistence of structural abnormalities present from birth involving the heart and/or large blood vessels in adult life, namely over the age of 16 years. Adult congenital heart disease is an ever-increasing burden for the health care system. Not much has been explained about the psychopathology of depression in adult congenital heart disease patients. The aim of this study was to analyze factors associated with depressive syndrome in patients with congenital heart disease Methods: This study was a cross-sectional study, involving 97 adult congenital heart disease patients who were recruited consecutively. Which consists of 8 independent variables and 1 dependent variable. Depression scores were assessed using the BDI-II measuring instrument. Results: The most common gender was female, 59 subjects (60.2%), the most common marital status was married, 66 subjects (67.3%), the most common occupation was working, 70 subjects (71.4%), history of previous operations/interventions the largest were those who had no history of previous surgery/intervention as many as 56 subjects (57.1%), the most comorbid diseases were those who had no history of comorbid diseases as many as 86 subjects (87.8%), age with a median value of 33 (18- 45), the median value of the length of education of adult CHD patients is 15(12-18), the median value of the NYHA class of adult CHD patients is 2(1-4). Conclusion: The characteristics of patients who are highly educated, have NYHA class, and who have a job should be of concern because they are more likely to experience depressive syndrome.