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埃塞俄比亚南贡德尔地区公立医院内科和外科病房住院患者精神痛苦的患病率及影响因素

Prevalence and determinants of mental distress among patients admitted in medical and surgical wards of public hospitals in South Gondar zone, Ethiopia.

作者信息

Amare Abraham Tsedalu, Birlie Tekalign Amera, Feleke Dejen Getaneh, Aytenew Tigabu Munye, Eshetie Yeshiambaw, Bantie Berihun, Azmeraw Molla, Ayehu Gashaw Walle, Alene Tamiru, Dubale Yosef Gebremikael, Yegizaw Endalkachew Sisay, Kerebeh Gashaw, Wubu Achamyeleh Getnet, Asfaw Tsion Wolanewos, Yirga Gebrie Kassaw

机构信息

Department of Adult Health Nursing, College of Health Sciences, Debre-Tabor University, Debre-Tabor, Ethiopia.

Department of Pediatrics and Neonatal Nursing, College of Health Sciences, Debre-Tabor University, Debre Tabor, Ethiopia.

出版信息

Sci Rep. 2025 Mar 18;15(1):9371. doi: 10.1038/s41598-025-93797-6.

DOI:10.1038/s41598-025-93797-6
PMID:40102586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11920231/
Abstract

Mental distress influences health status, treatment effectiveness, and the quality of care received by hospitalized inpatients. Globally, mental health problems account for 13% of the total burden of disease. Since studies about it are scarce in Ethiopia and not done in the south Gondar zone, we conducted this study. A prospective institution-based cross-sectional study was conducted in south Gondar Zone public hospitals via interviews. In the present study, the prevalence of mental distress was 41.7%. Patients admitted to the hospital and previous alcohol users (AOR = 2.19}) and tobacco users (AOR = 5.60}) were more likely to develop mental distress than non-alcohol and tobacco users in a multivariable logistic regression analysis. Having a previous psychiatric history, AOR = 11.622, and a hospital stay of one to two weeks, AOR = 2.57, were more likely to develop mental distress than those who didn't have a previous psychiatric history and those who had a hospital stay of more than or equal to three weeks. Age groups 18-39, AOR = 0.076, and 40-59, AOR = 0.264, are less likely to develop mental distress as compared to those ≥ 60 years old. This study reveals a high prevalence of mental distress among patients in medical and surgical wards. The Ethiopian Ministry of Health, the Amhara Regional Health Bureau, the South Gondar Zone Health Office, and Debre Tabor University shall give due attention.

摘要

精神痛苦会影响健康状况、治疗效果以及住院患者所接受护理的质量。在全球范围内,心理健康问题占疾病总负担的13%。由于埃塞俄比亚关于这方面的研究稀缺,且在南贡德尔地区尚未开展,我们进行了此项研究。通过访谈在南贡德尔地区的公立医院开展了一项基于机构的前瞻性横断面研究。在本研究中,精神痛苦的患病率为41.7%。在多变量逻辑回归分析中,入院患者以及既往饮酒者(调整后比值比[AOR]=2.19)和吸烟者(AOR=5.60)比非饮酒者和非吸烟者更易出现精神痛苦。有既往精神病史(AOR=11.622)以及住院一至两周(AOR=2.57)的患者比没有既往精神病史以及住院时间超过或等于三周的患者更易出现精神痛苦。与年龄≥60岁的人群相比,18 - 39岁年龄组(AOR=0.076)和40 - 59岁年龄组(AOR=0.264)出现精神痛苦的可能性较小。本研究揭示了内科和外科病房患者中精神痛苦的高患病率。埃塞俄比亚卫生部、阿姆哈拉地区卫生局、南贡德尔地区卫生办公室以及德布雷塔博尔大学应给予充分关注。

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本文引用的文献

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BMC Psychiatry. 2025 Jan 17;25(1):47. doi: 10.1186/s12888-025-06475-2.
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Depressive Symptoms and Mortality Among US Adults.美国成年人的抑郁症状与死亡率。
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Perceived stigma, common mental disorders and associated factors among primary caregivers of adult patients with mental illness attending at public hospitals, Harari regional state, Eastern Ethiopia: A multicenter cross-sectional study.在埃塞俄比亚东部哈拉里州,综合医院成年精神疾病患者主要照顾者感知污名、常见精神障碍及相关因素:一项多中心横断面研究。
Front Public Health. 2023 Mar 2;11:1024228. doi: 10.3389/fpubh.2023.1024228. eCollection 2023.
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Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.全球、区域和国家 204 个地区 1990-2019 年 12 种精神障碍疾病的负担:基于 2019 年全球疾病负担研究的系统分析。
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