Situation and Factors Associated with Depression among Diabetes MellitusType II Patients in Khon Kaen Province

Main Article Content

Jitra Thamrongchaichana
Wongsa Laohasiriwong
Wilaiphorn Thinkamrop

Abstract

This cross-sectional study aimed to determine the depression situations and its associated factors among Type II diabetes mellitus patients in Khon Kaen province. A total of 407 patients of Type II diabetes mellitus patients were selected by using multistage random sampling proportional to size of the population from 26 districts in Khon Kaen province. The multiple logistic regressions were applied to determine the factors associate with depression among the Type II diabetes mellitus patients and illustrated with the  adjusted odd ratio (adj.OR) confidence interval (95%CI) and p-value.


The results indicated that majority of participants were female (68.06%), of which 32.68% were in agricultural sectors. The participants have the depression were 18.92%. The factors associated with depression of Type II diabetes mellitus patients significance at p < .05 were; age 60 years old and older, no career or housewife, had the low levels of knowledge on diabetes, had high level of stress and the gamble.


The vulnerable Type II diabetes mellitus patients for depression among found in this study were the elder persons with low socioeconomic status. They need information to help improving knowledge and systematic support for behavior modification in order to improve the blood glucose level control. Social integration and empowerment were in need to help reducing stress and depression.

Article Details

Section
Research Article

References

กลุ่มภารกิจด้านข้อมูลข่าวสารและสารสนเทศสุขภาพ สำนักนโยบายและยุทธศาสตร์ กระทรวงสาธารณสุข. สถิติสาธารณสุขปี 2559. กรุงเทพมหานคร: สำนักงานกิจการโรงพิมพ์องค์การสงเคราะห์ทหารผ่านศึก; 2559. หน้า 26-30.

กลุ่มงานควบคุมโรคไม่ติดต่อ โรงพยาบาลศูนย์ขอนแก่น. เอกสารสรุปผลการดำเนินงานตามตัวชี้วัดสาธารณสุขที่สำคัญ จังหวัดขอนแก่น. พิมพ์ครั้งที่ 2. ขอนแก่น: ขอนแก่นการพิมพ์; 2555. หน้า 46-52.

Arunpongpaisal S, Rangseekajee P, Pajanasoontorn N, Virasisri S, Paholpak S, Krisanaprakornkit T. Development of Khon Kaen University Depression Inventory (KKU-DI) as a depressive measurement for northeastern Thai population. J Psychiatr Assoc Thailand 2006;51(4):330-48.

กรมสุขภาพจิต กระทรวงสาธารณสุข. รายงานสถานการณ์สุขภาพจิตของคนไทยประจำปี 2554. กรุงเทพมหานคร: กรมการแพทย์ กระทรวงสาธารณสุข; 2554. หน้า 12-5.

Bai Y, Chiou C, Chang Y, Lam H. Correlates of depression in type 2 diabetic elderly patients: a correlational study. Int J Nurs Stud 2008;45(4):571-9.

Van den Akker M, Schuurman A, Metsemakers J, Buntinx F. Is depression related to subsequent diabetes mellitus. Acta Psychiatrica Scandinavica 2004;110(3):178-83.

Thaithae N. Factors influencing depression among non-insulin-dependent diabetes mellitus patients Kuchinarai District, Kalasin Province. [Master’s Thesis, Faculty of Nursing]. Khon Kaen University; 2010. (in Thai).

Kerdsin D. The prevalence of depression in women who received the service in the clinic. Hospital Square Chaiyaphum Province. [Master’s Thesis, Faculty of Nursing]. Khon Kaen University; 2005. (in Thai).

Sulukananuruk C, Jaisanook W, Muktabhant B. Association of depression and stress with HbA1C level of Type 2 diabetic patients attending the diabetes clinic of Nampong Hospital. Khon Kaen Province. Srinagarind Medical Journal 2013;31(1):34-46. (in Thai).

Suttisan P. Depression and life context of diabetic patients in diabetes clinic at Nongkhai Hospital. [Master’s Thesis, Faculty of Health Sciences]. Chiang Mai University; 2007. (in Thai).

Thaneerat T. Prevalence of depression in blood glucose and related factors in type 2 diabetic patients receiving outpatient clinic. [Master’s Thesis, Faculty of Science]. Chulalongkorn University; 2009. (in Thai).

Burapan R. Factors affecting non-glycemic control of type 2 diabetic patients, Udon Thani Province. [Master’s Thesis, Faculty of Health Sciences]. Khon Kaen University; 2013. (in Thai).

Pakjarung T. Use of family processes with family support in the control of type 2 diabetes mellitus community health center, Sammakorn District, Khon Sawan District, Chaiyaphum Province. [Master’s Thesis, Faculty of Nursing]. Khon Kaen University; 2005. (in Thai).

Kortbantou K. Effects of participatory learning programs and the use of family-based social support on knowledge and behavioral health behaviors in type 2 diabetic patients, knowledge and family support behaviors, Chiang Khan Hospital. [Master’s Thesis, Faculty of Nursing]. Khon Kaen University; 2008. (in Thai).

Arammong A. Effects of support and education on participatory learning for caregivers in diabetes care. [Master’s Thesis, Faculty of Public Health]. Mahidol University; 2008. (in Thai).

Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Statistics in Medicine 1998;17(14):1623-34.

Srisatidnarakul B. The methodology in nursing research. 5th ed. Bangkok. U & I Media; 2010. (in Thai).

Hedelin B, Strandmark M. The meaning of depression from the life-world perspective of elderly women. Issues in Mental Health Nursing 2001;22(4):401-20.

กรมสุขภาพจิต กระทรวงสาธารณสุข. แบบประเมินภาวะซึมเศร้าและการฆ่าตัวตาย. [อินเทอร์เน็ต]. [เข้าถึงเมื่อ 25 กันยายน 2559]. แหล่งที่มา: https://www.sro.moph.go.th/ewtadmin//ewt/saraburi_web/ewt_dl_ link. nid=4033.

Kanjanawasee S. Applied statistics for behavioral research. 6th ed. Bangkok: Educational Research and Psychology, Faculty of Education, Chulalongkorn University; 2012. (in Thai).

Best JW. Research in education. 3rd ed. New Jersey: Prentice Hall; 1977.

Arunkaw W, Kruhirunrat P. Prevalence of depression in the elderly in the district hospital. Muang District, Nong Bua Lamphu Province. The Journal of Community Development and Life Quality Khon Kaen University 2015;3(4):577-89. (in Thai).

Bunloet A. Prevalence and factors associated with depression among the elderly community residents with chronic diseases in Samliam Urban Primary Care Unit, Khon Kaen. Srinagarind Med J 2016;31(1):25-33.

Suwanaloup N. Mental health status of housewives Suphan Buri Province in economic crisis. [Master’s Thesis, Faculty of Public Health]. Mahidol University; 2001. (in Thai).

Sangbumrung P. Prevalence and risk factors of depression in pregnant women. [Master’s Thesis, Faculty of Nursing]. Khon Kaen University; 2008. (in Thai).

Polyiam I. Prevalence and associated factors of depression in elderly patients with non-communicable disease, Roi Et Province. [Master’s Thesis, Faculty of Public Health]. Mahidol University; 2008. (in Thai).