Sains Malaysiana 49(5)(2020): 1089-1096

http://dx.doi.org/10.17576/jsm-2020-4905-13

Prevalence of Depression and Associated Factors among Tuberculosis Patients in Primary Care in the District of Kuching, Sarawak

(Prevalens Depresi dan Faktor Berkaitan dalam Kalangan Pesakit Tuberkulosis di Pusat Jagaan Primer di Daerah Kuching, Sarawak)

TIONG CHONG YING, NOOR AZAH ABD AZIZ*, RAHMAH KAMALUDDIN & ZUHRA HAMZAH

Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia

Diserahkan: 10 Oktober 2019/Diterima: 14 Januari 2020

ABSTRACT

Depression in tuberculosis (TB) increases the risks of adverse health outcomes. However, little is known about depression in tuberculosis patients in Malaysia. The aim of this study was to determine the prevalence and associated factors of depression in tuberculosis patients in primary care clinics. A cross-sectional study was adapted for this study. A total of 235 TB patients were recruited in six primary care clinics in the district of Kuching, Sarawak in Malaysia using convenience sampling method. A self-administered questionnaire, Patient Health Questionnaire-9 (PHQ-9), was used to screen for depression, and social support was accessed using Multidimensional Scale of Perceived Social Support, MSPSS.  This study showed that the prevalence of depression among TB patients was 7.7%. Socio-demographic factors, tuberculosis-related clinical data and social support are not significantly associated with participant’s depressive states. Findings also showed that there is no different in terms of social support received by depressive and non-depressive tuberculosis patients. Conclusively, depression in TB patients is considered low; however, screening for depression in TB patients should not be neglected because it can lead to better treatment outcomes.

Keywords: Depression; prevalence; tuberculosis

ABSTRAK

Kemurungan dalam pesakit tuberkulosis meningkatkan risiko untuk penyusutan tahap kesihatan keseluruhan. Namun demikian, tidak banyak yang diketahui mengenai kemurungan dalam kalangan pesakit tuberkulosis di Malaysia. Kajian ini bertujuan untuk mengenal pasti kadar prevalens dan faktor berkaitan kemurungan dalam kalangan pesakit tuberkulosispada peringkat kesihatan primer. Suatu kajian lintang yang melibatkan seramai 235 pesakit TB di enam buah klinik primer di Kuching, Sarawak telah dijalankan, menggunakan soal-selidik PHQ-9 (Soal Selidik Kesihatan Pesakit) bagi saringan kemurungan dan saringanSkala Pelbagai Dimensi Persepsi Sokongan Sosial (MSPSS) bagi mengenal pasti sokongan sosial pesakit. Kajian mendapati tahap kemurungan pesakit adalah tinggi sebanyak 7.7%, dengan faktor sosio-demografi, keadaan klinikal dan sokongan sosial tidak berkait dengan tahap kemurungan. Kajian juga mendapati tiada perbezaan antara mereka dalam kemurungan dan tidak murung. Kesimpulannya, walaupun tahap kemurungan pesakit TB adalah rendah namun saringan berterusan adalah perlu bagi memastikan keberhasilan rawatan yang baik.

Kata kunci: Kemurungan; prevalens; tuberkulosis

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*Pengarang untuk surat-menyurat; email: azah@ppukm.ukm.edu.my