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埃塞俄比亚阿姆哈拉地区综合专科医院理疗门诊治疗的肌肉骨骼疾病患者的抑郁程度及相关危险因素:一项前瞻性横断面研究。

Magnitude of depression and associated risk factors among patients with musculoskeletal disorder treated in physiotherapy outpatient department in Amhara region comprehensive specialized hospital in Ethiopia: a prospective cross-sectional study.

机构信息

Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, P.O. Box: 196, Gondar, Ethiopia.

出版信息

BMC Psychiatry. 2023 Mar 22;23(1):189. doi: 10.1186/s12888-023-04658-3.

Abstract

BACKGROUND

The state of depression that can lead to substance and drug abuse, as well as an increased risk of suicide. Without a doubt, the link between musculoskeletal pain and depression compromises a person's health and drastically lowers their quality of life, resulting in increased incapacity. Depression and musculoskeletal discomfort are two well-known risk factors for long-term sickness absence, which is defined as a period of sickness lasting more than a week, which means chronic musculoskeletal pains, particularly multiple pains, are linked to depression. And early diagnosis and care of depression in musculoskeletal disorder are critical to patients' physical, functional, and occupational results. This study aimed to assess the magnitude of depression and associated risk factors among patients with musculoskeletal disorder.

METHOD

Multi-institution cross-sectional study conducted in Amhara region Comprehensive specialized Hospitals from April 1st to May 30th, 2021. The data was collected from 217 participants through interview administrative questioner and patient medical record review. Binary logistic regression was used to identify associated risk factors of depression. The strength of the association was detected by the adjusted odds ratio.

RESULT

A total of 217 participate in this study with the age range of 18-80 years. Among the study participants, 57.1% (n = 124) (AOR: 95% CI: 50.7-63.6) were had depression. Treatment duration, and social support were significantly association with depression among patient with musculoskeletal disorder with P < 0.05.

CONCLUSION

The magnitude of depression was relatively high among musculoskeletal disorder patients treated in physiotherapy out-patient department. The length of treatment duration (hospital stay) and the status of social support from families and friends were significantly associated with depression among patients with musculoskeletal disorders. A multidisciplinary strategy is required for diagnosing and treating depression in patients with musculoskeletal disorder.

摘要

背景

抑郁症会导致物质和药物滥用,以及自杀风险增加。毫无疑问,肌肉骨骼疼痛与抑郁症之间的联系会损害一个人的健康,并极大地降低其生活质量,导致能力下降。抑郁症和肌肉骨骼不适是长期病假的两个众所周知的风险因素,长期病假定义为持续超过一周的病假,这意味着慢性肌肉骨骼疼痛,特别是多发性疼痛,与抑郁症有关。早期诊断和治疗肌肉骨骼疾病中的抑郁症对于患者的身体、功能和职业结果至关重要。本研究旨在评估肌肉骨骼疾病患者中抑郁的严重程度和相关风险因素。

方法

在 2021 年 4 月 1 日至 5 月 30 日期间,在阿姆哈拉地区综合专科医院进行了多机构横断面研究。通过访谈行政问卷和患者病历回顾,从 217 名参与者中收集数据。采用二项逻辑回归分析确定抑郁的相关危险因素。关联的强度通过调整后的优势比来检测。

结果

共有 217 名参与者参加了这项研究,年龄在 18-80 岁之间。在研究参与者中,57.1%(n=124)(AOR:95%CI:50.7-63.6)患有抑郁症。治疗持续时间和社会支持与肌肉骨骼疾病患者的抑郁显著相关(P<0.05)。

结论

在接受物理治疗门诊治疗的肌肉骨骼疾病患者中,抑郁的程度相对较高。治疗持续时间(住院时间)和来自家庭和朋友的社会支持状况与肌肉骨骼疾病患者的抑郁显著相关。需要采取多学科策略来诊断和治疗肌肉骨骼疾病患者的抑郁症。

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