Hambisa Solomon, Siraj Jafer, Mesafint Gebremeskel, Yimam Mohammed
Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Department of Pharmacy, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Neuropsychiatr Dis Treat. 2021 Mar 22;17:885-892. doi: 10.2147/NDT.S297460. eCollection 2021.
The aim of this study was to assess the prevalence of psychological distress and associated factors among hospitalized patients during the COVID-19 pandemic at three selected hospitals in southwest Ethiopia.
An institution-based cross-sectional study design was conducted among hospitalized patients during the COVID-19 pandemic at Mizan-Tepi University Teaching Hospital, Tepi General Hospital, and Gebre Tsadik Shawo General Hospital, southwest Ethiopia from May 10 to August 10, 2020. Sample size was computed using a single-proportion formula, and systematic sampling was employed to recruit study participants. Data were collected using a structured interviewer-administered questionnaire. Psychological distress was assessed with the Kessler Psychological Distress Scale, which has been validated in Ethiopia. SPSS 21.0 was used for analysis. Descriptive statistics were calculated to characteristize the study population. Predictors of psychological distress were identified by logistic regression analyses.
Among the 337 study participants enrolled, about 41% were aged 25-34 years. The overall prevalence of psychological distress was 57.9% (95% CI 52.8%-63.5%). Being female (AOR 3.69, 95% CI 2.08-6.55), having high (AOR 5.45, 95% CI 2.35-12.66) and medium perceived life threat (AOR 3.37, 95% CI 1.75-6.48), poor (AOR 3.97, 95% CI 1.70-9.29) and moderate social support (AOR 3.17, 95% CI 1.36-7.41), and current khat use (AOR 4.16, 95% CI 1.67-10.35) were statistically associated with psychological distress during the COVID-19 pandemic at <0.05.
The prevalence of psychological distress was high among hospitalized patients during the COVID-19 pandemic. The study findings highlight the need to develop psychological support strategies to improve mental health and psychological resilience.
本研究旨在评估埃塞俄比亚西南部三家选定医院在新冠疫情期间住院患者的心理困扰患病率及相关因素。
2020年5月10日至8月10日，在埃塞俄比亚西南部的米赞 - 泰皮大学教学医院、泰皮综合医院和格布雷·察迪克·沙沃综合医院，对新冠疫情期间的住院患者进行了一项基于机构的横断面研究设计。使用单比例公式计算样本量，并采用系统抽样方法招募研究参与者。通过结构化的访谈式问卷收集数据。使用在埃塞俄比亚经过验证的凯斯勒心理困扰量表评估心理困扰。采用SPSS 21.0进行分析。计算描述性统计量以描述研究人群特征。通过逻辑回归分析确定心理困扰的预测因素。
在纳入的337名研究参与者中，约41%的年龄在25 - 34岁之间。心理困扰的总体患病率为57.9%（95%置信区间52.8% - 63.5%）。女性（优势比3.69，95%置信区间2.08 - 6.55）、认为生命威胁程度高（优势比5.45，95%置信区间2.35 - 12.66）和中等（优势比3.37，95%置信区间1.75 - 6.48）、社会支持差（优势比3.97，95%置信区间1.70 - 9.29）和中等（优势比3.17，95%置信区间1.36 - 7.41）以及当前使用巧茶（优势比4.16，95%置信区间1.67 - 10.35）在新冠疫情期间与心理困扰在<0.05水平上具有统计学关联。
新冠疫情期间住院患者的心理困扰患病率较高。研究结果凸显了制定心理支持策略以改善心理健康和心理复原力的必要性。
