Beyene Getnet Mihretie, Legas Getasew, Azale Telake, Abera Mebrat, Asnakew Sintayehu
Department of Psychiatry, School of Medicine, College of Health Science, Debre Tabor University, PO Box: 272, Debre Tabor, Ethiopia.
Department of Health Education and Behavioral Science, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Heliyon. 2021 May 14;7(5):e07053. doi: 10.1016/j.heliyon.2021.e07053. eCollection 2021 May.
To assess the magnitude of disability and its associated factors among patients with schizophrenia in North West Ethiopia in selected hospitals, 2019.
Multicenter hospital-based cross-sectional study.
Gondar, Felege Hiwot, and Debre Tabor hospitals.
We recruit 420 participants for interviews using a systematic random sampling technique.
We collect the data by face-to-face interview. Disability was measured using the World Health Organization Disability Assessment Scale 2.0. Coded variables were entered into Epi data V.4.4.2 and exported to SPSS V.24 for analysis. Bivariate and multivariate logistic regressions with OR and 95% CI were employed.
A total of 423 participants were interviewed, with a response rate of 99.3%. The magnitude of disability in this study was 41.7 % (95 %CI: 36.9, 46.4). Current use of alcohol (AOR = 2.47,n95CI; 1.36,4.48), being jobless (AOR = 3.27, 95CI; 1.80, 5.93), had negative symptoms (AOR = 13.05,95CI, 7.58,22.45), had 5 and more years of illness (AOR = 2.75,95CI; 1.29,5.86), and had 5 and more years of untreated psychosis (AOR = 3.78,95CI, 1.85,7.75) were predictors of disability.
The magnitude of disability in this study was 41.7 %. Avoidance of alcohol usage, early initiation of treatment, creating job opportunities, and giving special emphasis to patients having negative symptoms is recommended.
评估2019年埃塞俄比亚西北部选定医院中精神分裂症患者的残疾程度及其相关因素。
多中心基于医院的横断面研究。
贡德尔、费莱格希沃特和德布雷塔博尔医院。
我们采用系统随机抽样技术招募了420名参与者进行访谈。
我们通过面对面访谈收集数据。使用世界卫生组织残疾评估量表2.0测量残疾情况。将编码变量输入Epi数据V.4.4.2，并导出到SPSS V.24进行分析。采用了比值比（OR）和95%置信区间（CI）的二元和多因素逻辑回归分析。
共访谈了423名参与者，应答率为99.3%。本研究中残疾程度为41.7%（95%CI：36.9，46.4）。当前饮酒（调整后比值比[AOR]=2.47，95%CI；1.36，4.48）、失业（AOR=3.27，95%CI；1.80，5.93）、有阴性症状（AOR=13.05，95%CI，7.58，22.45）、患病5年及以上（AOR=2.75，95%CI；1.29，5.86）以及未治疗的精神病5年及以上（AOR=3.78，95%CI，1.85，7.75）是残疾的预测因素。
本研究中残疾程度为41.7%。建议避免饮酒、尽早开始治疗、创造就业机会，并特别关注有阴性症状的患者。
