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资源有限环境下新冠疫情期间慢性病患者焦虑和抑郁的程度及相关因素

The magnitude and associated factors of anxiety and depression among non-communicable chronic disease patients during COVID-19 pandemic in a resource-limited setting.

作者信息

Mehari Eden Abetu, Kidane Rahawa Birhane, Areki Muluken Ferede, Seid Abdulwase Mohammed, Gelaye Abebech Tewabe

机构信息

Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

出版信息

Clin Epidemiol Glob Health. 2023 May-Jun;21:101274. doi: 10.1016/j.cegh.2023.101274. Epub 2023 Mar 21.

Abstract

OBJECTIVE

To assess the magnitude and associated factors of depression and anxiety among chronic disease patients during the COVID-19 pandemic at the University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia 2021.

METHODS

A cross-sectional study was done from June 1 to August 30, 2021 among non-communicable chronic disease patients. A systematic random sampling technique was used to collect data from 400 patients. Data were entered into EPI Info and to SPSS version 23 for analysis. Descriptive data analysis was done and bivariable and multi-variable logistic regression was used to identify factors. Variables with a p-value of 0.05 were considered statically significant.

RESULTS

The mean age of the respondents was 51.3 ± 0.8 years. The prevalence of anxiety and depression among non-communicable chronic disease patients was 17.9% (95%CI 14.2, 21.7) and 16.3% (95%CI 12.6, 20.1)) respectively. Being female (AOR = 2.56, 95% CI: 1.21, 5.41), divorced (AOR = 3.42, 95% CI: 1.02-11.50), and ever cigarette smoking (AOR = 5.00, 95% CI: 1.66-14.90) were significantly associated with depression. Whereas, ever cigarette smoking (AOR = 2.74, 95% CI: 1.04, 7.21), number of closed contacts (AOR = 1.16, 95% CI: 1.03, 1.31), and poor social support (AOR = 2.98, 95% CI: 1.16, 7.65) were significantly associated with the anxiety.

CONCLUSION

The magnitude of depression and anxiety was high. Thus, appropriate action should be taken to identify those patients and integration of psychiatric care into the usual care of non-communicable chronic disease patients is vital.

摘要

目的

评估2021年埃塞俄比亚西北部贡德尔大学综合专科医院在新冠疫情期间慢性病患者抑郁和焦虑的程度及相关因素。

方法

2021年6月1日至8月30日对非传染性慢性病患者进行了一项横断面研究。采用系统随机抽样技术从400名患者中收集数据。数据录入EPI Info并导入SPSS 23版本进行分析。进行描述性数据分析,并采用双变量和多变量逻辑回归来确定相关因素。p值为0.05的变量被认为具有统计学意义。

结果

受访者的平均年龄为51.3±0.8岁。非传染性慢性病患者中焦虑和抑郁的患病率分别为17.9%(95%置信区间14.2, 21.7)和16.3%(95%置信区间12.6, 20.1)。女性(调整后比值比=2.56,95%置信区间:1.21, 5.41)、离婚(调整后比值比=3.42,95%置信区间:1.02 - 11.50)以及曾经吸烟(调整后比值比=5.00,95%置信区间:1.66 - 14.90)与抑郁显著相关。而曾经吸烟(调整后比值比=2.74,95%置信区间:1.04, 7.21)、密切接触者数量(调整后比值比=1.16,95%置信区间:1.03, 1.31)以及社会支持差(调整后比值比=2.98,95%置信区间:1.16, 7.65)与焦虑显著相关。

结论

抑郁和焦虑程度较高。因此,应采取适当行动识别这些患者,将精神科护理纳入非传染性慢性病患者的常规护理至关重要。

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本文引用的文献

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