scholarly journals Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors

2013 ◽  
Vol 16 (3) ◽  
pp. 644-657 ◽  
Author(s):  
Inês Gullich ◽  
Andrews Barcellos Ramos ◽  
Tiago Rafael Anschau Zan ◽  
Cíntia Scherer ◽  
Raúl Andrés Mendoza-Sassi

Objective: To identify the prevalence of anxiety in adults hospitalized in the clinical ward of a university hospital and to analyze the possible associated factors. Method: A cross-sectional study was performed in a university hospital. All interviewees answered a specific questionnaire and the Hospital Anxiety and Depression Scale. A Poisson regression was used to calculate prevalence ratios with 95% confidence intervals. Results: 282 patients were enrolled. The prevalence of anxiety was 33.7% (95%CI 28.2 - 39.3). Characteristics associated with the outcome were female gender (RP 2.44), age ≥ 60 years (PR 0.65), consultation in primary health care (PR 2.37), estimated time of contact between patient and student > 30 min (RP 1.36), high blood pressure (PR 1.57), diabetes mellitus (PR 1.43), and obesity (RP 1.43). Conclusion: This study found prevalence of high anxiety. It may be associated with certain characteristics of the patients (gender, age, chronic diseases); the medical appointment in primary care and time (estimated by the patient) that the student remained with this patient. The need for a focused approach to mental health care within the hospital has been discussed for a long time. The particularity of this study refers to the environment of a university hospital and to what extent the environment and the patient's relationship with the student are associated with higher prevalence of anxiety.

2018 ◽  
Vol 17 ◽  
pp. e181344
Author(s):  
Cláudia Lobelli Chandler ◽  
Isabelita Duarte Azevedo ◽  
Manoelito Ferreira Silva Junior ◽  
Johnnatas Mikael Lopes ◽  
Manuel Antonio Gordón-Núñez ◽  
...  

Aim: To investigate the prevalence of intraoral characteristics and associated factors with neonatal and parent variables in a group of Brazilian newborns. Methods: This cross-sectional study with a descriptive and inferential approach, whose data was obtained through clinical examination, interview and the collection of medical record information. The sample was selected from babies up to three days old, of both sexes, and born between January and December 2013 in the Ana Bezerra University Hospital, in the city of Santa Cruz-RN, Brazil. The exposure variables included neonatal (sex, weight, gestational age, type of delivery and Apgar score) and parent (presence of systemic disease(s), drug use and consanguinity between the parents) variables. Descriptive analysis and Poisson regression were performed to estimate the ratio of gross and adjusted prevalence of intraoral findings (Epstein pearls, Bohn’s nodule, dental lamina cyst and ankyloglossia) with the neonatal and parent variables (p<0.05). Results: Of a total of 168 examined newborns, 56.5% (n=95) were male. The most prevalent intraoral feature was the fibrous cord of Magitot, 62.5% (n=105), and the most frequent alteration was Epstein pearls, 44.6% (n=75). Female gender was a factor for Bohn’s nodule (OR=0.90; 95%CI:0.82-0.99), and no tobacco use by the father was a protective factor for Epstein pearls (OR=0.73;95%CI:0.55-0.97). Additionally, lower mother’s age, between 20-34 years  of age (OR=1.58;95%CI:1.07-2.35) and under 19 years of age (OR=1.61; 95%CI:1.03-2.52) increases the chance of having Epstein pearls. Conclusion: There was a high prevalence of alterations in the newborns’ oral cavities and there were associations between neonatal and parent variables.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Amina Chrifi Alaoui ◽  
Mohammed Omari ◽  
Noura Qarmiche ◽  
Omar Kouiri ◽  
Basmat Amal Chouhani ◽  
...  

Abstract Background and Aims The Chronic kidney disease (CKD), like many chronic illnesses, is invariably associated with various psychiatric conditions and poorer quality of life. This study aims to assess the prevalence of depression and anxiety among CKD patient and their determinant factors. Method this is a cross sectional single center study in a Moroccan university hospital. Patients aged ≥ 18 years old and followed for more than one year were included. The data was collected using a questionnaire for sociodemographic and clinical information and the Hospital anxiety and depression scale (HADS) to assess depression and anxiety prevalence. After the description of the population’s characteristics, the statistical analysis aimed to assess the association between depression and anxiety disorders and the estimated glomerular filtration rate before and after adjustment on several confounding factors. Results 88 patients were included (63.6% of them were women, the mean age was 61.8±14.0 years), 21 were on stage 3, 46 were on stage 4, and 21 were on stage 5 of the CKD. The median of depression sub-score was 5.00[2.00; 10.0], the median of anxiety sub-score was 6.00[4.00; 9.00], and the median of the global score was 11.0[7.00; 20.0], 22.0% of included patients had depression and 22.0% had anxiety. Both depression and anxiety scores were associated to eGFR before and after adjustment (p= 0.001, p&lt;0.001and p=0.04, p=0.03 respectively). Conclusion This study showed that depression and anxiety are strongly related to the CKD progression, which should motivate both doctors and nurses to improve their psychological care toward CKD patients.


2020 ◽  
Vol 5 (3) ◽  
pp. 116
Author(s):  
Moe Hnin Phyu ◽  
Hutcha Sriplung ◽  
Myo Su Kyi ◽  
Cho Cho San ◽  
Virasakdi Chongsuvivatwong

Health care workers (HCWs) in high tuberculosis (TB) prevalence countries have to care for many cases, thus increasing their risk of infection. The objective of the study was to compare the prevalence of latent TB infection (LTBI) between general HCWs and TB HCWs, and also to explore the associated factors. A cross-sectional study was conducted in Nay Pyi Taw, Myanmar from September 2019 to January 2020. Staff working at two general hospitals were recruited. Those allocated for TB care were classified as TB HCWs, while the remaining were classified as general HCWs. Participants were interviewed using a structured questionnaire, and screened for LTBI using a tuberculin skin test (TST). Individuals who had an induration of 10 mm or more with normal chest radiograph were regarded as having LTBI. The prevalence of LTBI among general HCWs was 2.04 times higher than that of TB HCWs (31.2% vs. 15.3%, p < 0.001). The associated factors for LTBI included low education level, duration of work experience ≥ 10 years, a low knowledge of regular TB screening, and teaching cough etiquette to TB patients. The higher prevalence of LTBI in the general HCWs in this study was due to confounding by education and experience. After adjustment for these, we have no evidence to support that either group of HCWs had higher LTBI risk.


2020 ◽  
Vol 34 (4) ◽  
pp. 345-351
Author(s):  
Figen Alp Yilmaz ◽  
Yeter Durgun Ozan

PurposeThe impact of birth beliefs on pregnancy and delivery are universally recognized, but the factors that affect birth beliefs vary across regions depending on individual and cultural characteristics. This study aimed to determine women's birth beliefs and examine their associated factors.Design/methodology/approachThis cross-sectional study was conducted with 548 primiparas in the obstetrics clinic of a university hospital located in the Southeastern Anatolian Region of Turkey from February to June 2019. Descriptive characteristics, form and the Birth Beliefs Scale were used in data collection. To analyze the data, descriptive statistics, T-tests and ANOVA analyses were used.FindingsIt was determined that factors such as age group, income level, any problems during pregnancy and preferred delivery mode statistically affected women's birth beliefs.Originality/valueBased on the findings from this study, healthcare personnel should provide training and consultation services to pregnant women starting from the prenatal period to help ensure a positive labor experience.


2018 ◽  
Vol 60 (2) ◽  
pp. 132-139 ◽  
Author(s):  
Maki Tojo ◽  
Satoshi Yamaguchi ◽  
Naoko Amano ◽  
Akemi Ito ◽  
Machiko Futono ◽  
...  

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Mariana da Conceição Santana Lima ◽  
Paulo Henrique Fernandes Santos ◽  
Keila Cristianne Trindade Da Cruz ◽  
Lucas Cardoso Dos Santos ◽  
Valéria Bertonha Machado ◽  
...  

Objetivo: Caracterizar o perfil e o acesso à insulinoterapia dos usuários com diagnóstico de Diabetes Melittus atendidos no Ambulatório de Endocrinologia de um hospital universitário do Distrito Federal. Método: Estudo transversal, realizado de abril a maio de 2019. A amostra constituiu-se de 60 participantes com 18 anos ou mais. Foi aplicado questionário estruturado e os dados descritivos analisados pelo software PSPP. Resultados: Verificou-se que a maioria (86,7%) são mulheres, que os participantes obtêm insulina (93,3%), antidiabéticos orais (50,0%) e insumos (93,3%) no serviço público, e que metade desses participantes os adquirem na unidade de saúde. Ainda metade (53,3%) relatou ter interrompido o tratamento devido à falta desses medicamentos. Conclusão: O estudo evidenciou as fragilidades no acesso às redes de saúde do Distrito Federal em decorrência da falta de investimentos na Atenção Básica e da cultura hegemônica, sendo urgente o investimento nas redes de cuidado à luz das políticas de acesso.Descritores: Acesso aos Serviços de Saúde; Diabetes mellitus; Níveis de Atenção à Saúde; Assistência Integral à Saúde. Objective: To characterize the profile and access to insulin therapy of users with diabetes mellitus treated in the Endocrinology Outpatient Clinic in an university hospital of Distrito Federal. Method: Cross-sectional study, performed from April to May 2019. The sample consisted of 60 participants with 18 years or more. A structured questionnaire was applied and the descriptive data analyzed by the PSPP software. Results: It was found that the majority (86.7%) were women, that participants obtain insulin (93.3%), oral antidiabetics (50.0%) and inputs (93.3%) in the public service, and that half of these participants acquire it at the health unit. Half (53.3%) reported having interrupted the treatment due to the lack of these medications. Conclusion: The study showed the weaknesses in access to networks of health of Distrito Federal due to the lack of investment in primary health care and the hegemonic culture, being urgent the investment in care networks of care in the light of the access policies.Descriptors:  Health Services Accessibility; Diabetes Mellitus; Health Care Levels; Comprehensive Health Care. Objetivo: caracterizar el perfil y el acceso a la terapia con insulina de los usuarios diagnosticados con Diabetes Melittus atendidos en la Clínica Ambulatoria de Endocrinología de un hospital universitario en el Distrito Federal. Método: estudio transversal, realizado de abril a mayo de 2019. La muestra consistió en 60 participantes de 18 años o más. Se aplicó un cuestionario estructurado y los datos descriptivos fueron analizados por el software PSPP. Resultados: se encontró que la mayoría (86.7%) son mujeres, los participantes reciben insulina (93.3%), antidiabéticos orales (50.0%) e insumos (93.3%) en el servicio público, y la mitad de estos participantes los adquieren en el centro de salud. Todavía la mitad (53.3%) informó suspender el tratamiento debido a la falta de estos medicamentos. Conclusión: El estudio mostró las debilidades en el acceso a las redes de salud en el Distrito Federal debido a la falta de inversiones en atención primaria y cultura hegemónica, siendo urgente invertir en redes de atención a la luz de las políticas de acceso.Palabras clave: Accesibilidad a los Servicios de Salud; Diabetes Mellitus; Niveles de Atención de Salud; Atención Integral de Salud.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Joy Osagiator Ariyo ◽  
Ebenezer Olutope Akinnawo ◽  
Bede Chinonye Akpunne ◽  
Daniel Oluwasanmi Kumuyi ◽  
Deborah Foluke Onisile

Background: Health care workers (HCWs) are the frontline of coping COVID-19 pandemic, which indicates the importance of improving their mental wellness to better cope with the situation. Objectives: The current study aimed to firstly assess the severity of anxiety and depression and perceived vulnerability to diseases, and secondly to investigate their association with the fear of COVID-19 among Nigerian HCWs. Methods: For this cross-sectional study, a purposefully selected sample of 413 HCWs from two tertiary healthcare institutions in Benin City, Edo State, South-South Nigeria, responded to the Fear of COVID-19 Scale, Hospital Anxiety and Depression Scale, and Perceived Vulnerability to Disease Scale. Data was collected between October 2020 and February 2021. Descriptive statistics were used to summarize socio-demographic variables, while inferential statistics (t-test for independent samples, one-way ANOVA, and linear regression) were used to test hypotheses. Results: A high prevalence of anxiety, depression, and perceived vulnerability to diseases (PVD) was observed. Perceived infectability (β = 0.244, P = 0.000), germ aversion (β = 0.166, P = 0.000), and composite PVD (β = 0.96, P = 0.000) were identified as independent and significant predictors of fear of COVID-19, accounting for 7.5; 3.3, and 9.9% variance in the severities of Fear of COVID-19, respectively. Anxiety and depression showed a significant joint prediction of Fear of COVID-19 severity, accounting for a 4.0% variance in the severity. Fear of COVID-19 was not found to be influenced by sex or job type differences among the HCWs. Conclusions: This study demonstrated a high incidence of anxiety, depression, and perceived vulnerability to COVID-19 among Nigerian HCWs. These reported symptoms of psychopathology are also strong independent and joint predictors of fear of COVID-19.


2018 ◽  
Vol 1 (2) ◽  
pp. 9-26 ◽  
Author(s):  
Solomon Getahun Beyene ◽  
Abulie Takele Melku

Background: Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries. It is the second leading cause of death in under-five year children nest to pneumonia. Objectives: The aim of this study was to determine the magnitude and associated factors of diarrhea in under-five in Harena Buluk district. Methods: A community based Cross sectional study was conducted in February, 2018. A two stage stratified sampling method was done to select the eligible households. Data was collected by trained data collectors using pretested questionnaire list which was prepared based on EDHS and WHO core questionnaires related to diarrhea. Data was entered in to a computer using Epi data 3.1 and exported to SPSS V.20 for further analysis. Logistic regression was used to determine level of association with 95% CI. A p-value <0.05 in the final model were considered as significant. Result: The two weeks period magnitude of diarrhea among under-five children was 28.4% with 95% CI (14.5-20.8) which was associated with households with one under five children (AOR: 0.268, 95% CI(.08,0.90)), living in the home with single room ((AOR = 6.01, 95% CI(1.01,36.01)), clean latrine/faces not seen around the pit or on the floor of latrine(AOR: 0.298, 95% CI(0.097,0.92)), long time take to fetch water from source (AOR: 0.046,95%CI(0.01,0.22)), home based water treatment ((AOR = 0.15, 95% CI: (0.04, 0.62)), living with animal in the same house(AOR: 8.31, 95% CI(2.46,28.06)), children who took gruel type of food(AOR: 0.24, 95% CI(0.07,0.81)), hand washing practice before cooking food (AOR: 0.195(0.066, 0.574)). Conclusion: The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea. Improve community about home and environmental sanitation and hand practices were recommended.


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