Prevalence of depression and associated factors among heart failure patients at cardiac follow-up clinics in government teaching hospital at Addis Ababa, Ethiopia; A cross sectional study

Background Depression is one of the most co-morbid disorders in patients with heart failure and it is a major public health problem in worldwide. There is great information gap about the depression of heart failure patients in developing countries including in Ethiopia. Objective This study aimed to assess prevalence of depression and associated factors among heart failure patients at cardiac follow-up clinics. Methods Health care institution based cross-sectional study design was employed to assess the prevalence of depression and associated factors among 424 heart failure patients who were selected by using a systematic random sampling method from January 1 to 30, 2021 at four public hospitals, and the sample was proportionally allocated for each study hospital and then data were collected by using structured-interview questionnaires. Bivariate and Multivariate logistic regression analysis was done to examine the possible predictors and variables with the statistical association of P-value of < 0.05 and a 95% confidence interval were considered. Result Data were gathered from heart failure in cardiac follow clinic with 100% response rate. The mean and standard deviation of the age of respondents was 52.68 and17.471years respectively. The prevalence of depression in this study was 59%. According to NYHA class III and IV is highly associated with depression [(AOR:12.8(2.2--71.6),95%CI, P=0.004, (AOR:19.2(1.9-189.9), 95% CI, P=0.011)] respectively, poor self-care behaviours[(AOR: 9.1(2.4-34.6), 95%CI, P=0.001)], alcohol use[(AOR:17.7(4.14-35.65),95% CI,P=0.001)], poor social support[( AOR: 4.6(1.2-16.7),95%CI,P=0.020)], poor knowledge level [(AOR:5.1(1.3-20.6), 95%CI, P=0.020), were associated with Depression and statistically significant. Conclusion The evidence from this study indicates that depression is highly prevalent among heart failure patients and age of respondent, alcohol intake, self-care behaviour, social support, knowledge level, and co-morbidity was associated with depression and statistically significant. Therefore, all institutions of cardiac centre should work on screening of depression in heart failure patients, and consult psychiatrists and psychologists for early detection and measures.