DOI: 10.36347/sasjm.2024.v10i06.019

Pages: 567-571

Background: Diabetes and depression are two long-term conditions that often coexist, particularly in older persons. This comorbidity presents considerable problems to the healthcare system in terms of patient outcomes and expense. Depression can exacerbate diabetes symptoms and complications, resulting in poor self-management, decreased standards of life, and higher mortality rates. Diabetes, on the other hand, might increase the likelihood and severity of depression due to the disease's chronic nature and the lifestyle changes required to manage it. Objectives: The aim of the study was to evaluation of depression care management on outcomes related to diabetes in older patients. Methods: This observational study was carried out in the Rohingya camps Cox’s Bazar during January 2022 to April 2024. A total of 500 patients were participated in the study. Statistical analyses of the results were be obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-24). Results: The study population comprised 500 individuals, with 38 (7.6%) aged under 18 years, 326 (65.2%) aged between 18 and 65 years, and 136 (27.2%) aged over 65 years. Regarding sex distribution, 120 (24%) were male and 380 (76%) were female. Depression severity significantly correlated with several parameters. Individuals with severe depression were older (mean age 50.5 years) compared to those with no depression (45.2 years) and moderate depression (47.8 years). The SDSCA global score decreased from 30.5 in the no depression group to 25.8 in the severe depression group. Prevalence of heart disease (60%), high blood pressure (95%), peripheral vascular disease (25%), stroke (20%), cancer (30%), and chronic pulmonary disease (50%). Mini-Mental State Examination scores (23.5) and higher HDRS scores (24.7) compared to those with no depression (Mini-Mental State Examination score of 28.4 and HDRS score of 10.2). Conclusion: Effective depression care management .........