Tilahun Haile, Awoke Nefsu, Geda Biftu, Mesfin Firehiwot
Hiwot Fana Specialized Teaching Hospital, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Department of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Psychiatry J. 2018 Apr 1;2018:6743520. doi: 10.1155/2018/6743520. eCollection 2018.
Globally, depression is one of the three leading causes of disease and it will be the second leading cause of world disability by 2030. The prevalence of depression in Sub-Saharan Africa ranges from 15 to 30%. In Ethiopia, depression was found to be the seventh leading cause of disease burden and its prevalence has been increased in hospital compared to community setting because hospital environment itself is stressful. Yet, no study was done in Eastern Ethiopia, where substance use like Khat is very rampant.
To assess depression and associated factors among adult inpatients at public hospitals of Harari Regional State, Eastern Ethiopia, from February 01 to 28, 2017.
Hospital based cross-sectional study design was employed on 492 admitted adult patients in Harari region hospitals. Consecutive sampling method was used to include study population. The data were collected by interviewee and analyzed by SPSS version 20.0. Bivariate and multivariate logistic regression analyses were employed. value of 0.05 or less was considered to be statistically significant.
A total of 489 patients were interviewed with response rate of 99.4%. Having duration of 1-2 weeks in the hospital [AOR = 2.02, 95% CI: (1.28, 3.19)], being diagnosed with chronic morbidity [AOR = 4.06, 95% CI: (2.23, 7.40)], being users of psychoactive drugs [AOR = 2.24, 95% CI: (1.18, 4.24)], and having been admitted to surgical ward [AOR = 0.50, 95% CI: (0.31, 0.81)] were significantly associated with depression.
Prevalence of depression among admitted inpatients was high. Therefore, increasing the awareness of benefits of early diagnosis of patients to prevent major form of depression and strengthening the clinical set-up and establishing good referral linkage with mental health institutions was considered to be cost-effective method to reduce its prevalence.
在全球范围内,抑郁症是三大主要致病原因之一,到2030年它将成为导致全球残疾的第二大主要原因。撒哈拉以南非洲地区的抑郁症患病率在15%至30%之间。在埃塞俄比亚,抑郁症被发现是疾病负担的第七大主要原因,与社区环境相比,其在医院中的患病率有所上升,因为医院环境本身就充满压力。然而,在埃塞俄比亚东部,恰特草等物质使用非常猖獗的地区,尚未开展相关研究。
评估2017年2月1日至28日期间埃塞俄比亚东部哈拉里地区公立医院成年住院患者的抑郁症及相关因素。
对哈拉里地区医院492名成年住院患者采用基于医院的横断面研究设计。采用连续抽样方法纳入研究人群。数据通过访谈收集,并使用SPSS 20.0版本进行分析。采用二元和多元逻辑回归分析。P值小于或等于0.05被认为具有统计学意义。
共对489名患者进行了访谈,应答率为99.4%。住院时间为1 - 2周[AOR = 2.02,95% CI:(1.28, 3.19)]、被诊断患有慢性病[AOR = 4.06,95% CI:(2.23, 7.40)]、使用精神活性药物[AOR = 2.24,95% CI:(1.18, 4.24)]以及入住外科病房[AOR = 0.50,95% CI:(0.31, 0.81)]与抑郁症显著相关。
住院患者中抑郁症的患病率较高。因此,提高对患者早期诊断益处的认识以预防主要形式的抑郁症,加强临床设置并与精神卫生机构建立良好的转诊联系,被认为是降低其患病率的具有成本效益的方法。