Depression Status and Related Factors in Patients with Heart Failure


1 Department of Nursing, Social Determinant of Health Research Center, Guilan University of Medical Sciences, Rasht, I.R. Iran.

2 Department of Cardiology, Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, I.R. Iran

3 Department of Biostatistics, Social Determinant of Health Research Center, Guilan University ofMedical Sciences, Rasht, I.R. Iran


Background:Among patientswith heart failure, patients withdepressive symptoms2-3times higher than inpatients withoutsymptoms of depressionareat increased riskof mortality.The aim ofthis studywas todetermine depression status and related factorsinpatientswith heart failure in 2012-13.Methods:In this descriptive cross-sectional study, 239 patients with heart failure who referred to Dr.Heshmat hospital in Rasht in 2012-13 were assessed. Data were collected using theCardiac Depression Scale, Charlson Comorbidity Index,and NYHA classification system. Data wereanalyzed with SPSSusingdescriptive statistics (frequency, percentage, mean,and standard deviation) and inferential statistics (Kolmogorov–Smirnov test for normal distribution of data,correlation chi-square, t-test,and logistic regression).Results:The results showed that 138 (57.7%) patients haddepressive symptoms.Inthelogistic regressionanalysis,only education and supplementary insurance as a significant predictor of cognitive status were identified,which indicated that thepatients with supplementary insurance and higher education levels were more likely to maintain an optimal cognitive function.Conclusions:Since more than half of the subjects had depressive symptoms, we recommend that depressive symptomsbe assessedand care plans be plannedbased on it.(Iranian Heart Journal 2015; 16(3): 22-27)