MEDICATION ADHERANCE AND ITS ASSOCIATED FACTORS AMONG DIABETES PATIENTS HAVING FOLLOW UP IN DIABETIC CLINIC AT HAWASSA UNIVERSITY COMPRENSIVE SPECIALIZED HOSPITAL.

2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
ZEWDE OLTAYE OCHE
Keyword(s):  
Social Support ◽  
Medication Adherence ◽  
Associated Factors ◽  
Information Provision ◽  
Southern Ethiopia ◽  
Dietary Regimen ◽  
Duration Of Illness ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Abstract Objective:-To assess the magnitude of medication adherence and its associated factors among diabetic patient in diabetic (DM) clinic, Southern Ethiopia, 2019. Result: The magnitude of medication adherence among Diabetes was found to be 58.8%. The independent predictors were social support AOR 95%CI 3.2(1.28, 4.93), dietary regimen AOR 95% CI 2.45(1.37, 4.35) and duration of illness AOR 95% CI 1.52 (1.32, 2.12). Health information provision for the patients as well as for the community through different means of communication should be essential to increase the medication adherence and social support to bring the good clinical outcome. Key words: Magnitude, medication adherence, Diabetes, MMAS.

scholarly journals Prevalence of Depressive Symptoms and Associated Factors among HIV-Positive Youth Attending ART Follow-Up in Addis Ababa, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Helina Abebe ◽  
Shegaye Shumet ◽  
Zebiba Nassir ◽  
Melkamu Agidew ◽  
Dessie Abebaw
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Medication Adherence ◽  
Associated Factors ◽  
Rating Scale ◽  
Addis Ababa ◽  
Public Hospitals ◽  
Hiv Positive ◽  
Immunodeficiency Virus

Depression is most frequently and highly occurring common mental disorder in HIV/AIDS patients especially youth living with HIV/AIDS. This study aimed to assess the prevalence and associated factors of depressive symptoms among youth living with Human Immunodeficiency Virus (HIV) attending Antiretroviral Therapy (ART) follow-up at public hospitals in Addis Ababa, Ethiopia.Objective. To assess the prevalence and associated factors of depressive symptoms among youth living with Human Immunodeficiency Virus (HIV) attending Antiretroviral Therapy (ART) follow-up at public hospitals Addis Ababa, Ethiopia, 2016.Method. In a cross sectional study, 507 HIV-positive young people from public health hospitals were recruited by systematic random sampling technique. Beck Depression Inventory-II was used to assess depressive symptoms. Morisky medication adherence rating scale, social support rating scale, and HIV stigma scale were the instruments used to assess the associated factors.Results. Prevalence of depressive symptoms among HIV-positive youth was 35.5% (95% CI:31.3, 39.6). In multivariate analysis, age range between 20 and 24 years with (AOR=2.22, 95% CI: 1.33,3.62), history of opportunistic infection (AOR=1.94, 95% CI:1.15,3.27), poor medication adherence (AOR=1.73, 95%CI:1.13,2.64, low social support (AOR=2.74, 95%CI:1.13,2.64), moderate social support (AOR=1.75 95% CI: 1.03,2.98), and stigma (AOR=2.06, 95% CI: 1.35,3.14) were associated with depressive symptoms. The results suggest that prevalence of depressive symptoms among HIV-positive youth was high. Prevention of opportunistic infection, stigma, and counseling for good medication adherence are necessary among HIV-positive youth.

MAGINITUDE AND ASSOCIATED FACTORS OF DEPRESSION AMONG HYPERTENSIVE PATIENTS ATTENDING TREATMENT FOLLOW UP IN CHRONIC OPD AT HAWASSA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, HAWASSA, SOUTHERN ETHIOPIA

2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
Bedilu Deribe ◽  
Mintesnot Abeto
Keyword(s):  
Clinical Outcome ◽  
Information Dissemination ◽  
Behavioral Therapy ◽  
Educational Status ◽  
Southern Ethiopia ◽  
Good Clinical Outcome ◽  
Hypertensive Patients ◽  
Specialized Hospital ◽  
Hawassa University

Abstract ABSTRACT Objective: The aim of this study was to assess the magnitude and factors associated with depression among Hypertensive patients attending treatment follow up in chronic OPD at Hawassa University comprehensive Specialized Hospital (HUCSH) from March to May, 2019. Result: The magnitudes of depression among Hypertension (HPN) patients were found to be 73 (24.7%). The independent predictors were Sex 2.6(1.16, 5.83), Age 11.2(2.98, 42), educational status, Social support 2.55 (1.09, 5.94), family history of depression 7.12(1.48, 34.26), hypertension 7.57(2.67, 21.44) and medication adherence 11.6(4.23, 31.78). So, continuous health information dissemination at different level regard to factors affecting them should be given. Strengthen a referral linkage with psychiatric unit for psycho behavioral therapy will bring good clinical outcome. Besides, controlling hypertension was crucial to bring good clinical outcome. Key words: depression, magnitude, associate factor, patient health questionnaire (PHQ-9).

scholarly journals Surgical site infection prevalence and associated factors in Hawassa University comprehensive specialized hospital, southern Ethiopia.

2019 ◽  
Author(s):  
Bedilu Deribe ◽  
Wegene Jemebere ◽  
Gezahegn Bekele
Keyword(s):  
Surgical Site Infection ◽  
Associated Factors ◽  
Significant Risk ◽  
Health Care Facilities ◽  
Southern Ethiopia ◽  
Infection Prevalence ◽  
Site Infection ◽  
Surgical Wound ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Background Surgical site infections (SSIs) continue the main problem in health care facilities, causing the prolonged length of stay, considerable morbidity, mortality, and the extra cost to patients after surgery. The aim of this study was to determine the prevalence of SSIs and explore its associated factors among surgical patients at Hawassa university comprehensive specialized hospital, southern Ethiopia.Methods A hospital-based cross-sectional study design was conducted among post-operative patients on a sample of 281 who were admitted and have had surgery from 1 March – 1 April 2019. Purposive sampling technique and the structured questioner were selected to gather data from the patient's medical record, interview, and observation. EPI Info 3.5.4 was a data entry software and SPSS version 20.0 was selected for analysis. Associations among variables were assessed by binary logistic regression.Result A total of 281 patients have participated and the mean age was 30.3 (±18.9) years. The prevalence of SSIs was (24.6%) (95% CI 19.6 – 29.69). Age less than 15 years AOR = 0.131 (95% CI 0.020, 0.087), having clean surgical wound AOR = 0.006 (95% CI 0.002, 0.024) were significant protective associated factors to SSIs while having open surgical wound AOR =5.189 (95% CI 1.511, 17.821) and malnutrition AOR =29.351 (95% CI 5.711, 150.851) were significant risk associated factors to SSIs.Conclusion The prevalence of SSIs was bigger than the worldwide range between (1.2%) and (5.2%) even higher compared to reports from several developing countries. This needs exceptional attention to reduce the odds of surgical site infection by standardizing patient care and controlling of comorbidities.

scholarly journals Late Diagnosis of Breast Cancer and Associated Factors Among Women Attending Hawassa University Comprehensive and Specialized Hospital Southern Ethiopia

2021 ◽  
Author(s):  
Mesay Yoseph ◽  
Achamyelesh Gebresadik ◽  
Akalewold Alemayehu
Keyword(s):  
Breast Cancer ◽  
Late Stage ◽  
Associated Factors ◽  
Breast Biopsy ◽  
Late Diagnosis ◽  
Sub Saharan Africa ◽  
Public Health Issue ◽  
Southern Ethiopia ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Background; Breast cancer is a significant public health issue in sub-Saharan Africa and the second commonest cancer overall. In Ethiopia, most women present at the late-stage presentation. This is because Ethiopian government gives less attention, and is not well-studied as well. Therefore, it is important to assess delays in diagnosis and treating breast cancer that has been associated with a more advanced stage of the disease and a decrease in patient survival rates.Objective: To assess the magnitude and associated factors for late diagnosis of breast cancer among women attending Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. Methodology: A facility-based cross-sectional study was conducted from December to January 2019. Data were collected from 261 consecutively selected clients based on the arrival of their hospital visit by using a pretested structured questionnaire and checklist. Physicians performed physical examinations and diagnoses. Data was checked for completeness and consistency, and entered into epi data, then exported to SPSS for analysis. Descriptive, Bivariate, and multivariable logistic regression analyses were performed using SPSS Version 25 Statistical Software.Results: The magnitude of late diagnosis of breast cancer was 86.3%. The woman who had no initial advice for breast biopsy [AOR=5.1, 95% (CI=1.4-18.9)], not sharing the problem to others [AOR=4.7, 95% (CI=1.8-12.2)] and using traditional and faith healers as a first treatment choice [AOR=3.3, 95% (CI=1.2 - 8.8)] were associated with late diagnosis of breast cancer.Conclusions: The majority of women having breast cancer were diagnosed at a late stage. It needs attention to provide better options of the modern health service, and providing accessible initial advice for breast biopsy, and creating awareness about the benefit of sharing problems with family to improve the health of mothers by early diagnosing and managing the breast cancer.

scholarly journals Prevalence and Associated Factors of Dyslipidemia Among Psychiatric Patients on Antipsychotic Treatment at Hawassa University Comprehensive Specialized Hospital

2021 ◽  
Vol 14 ◽  
pp. 117863882110168
Author(s):  
Agete Tadewos Hirigo ◽  
Tesfaye Teshome ◽  
Wondwossen Abera Gitore ◽  
Endale Worku
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Associated Factors ◽  
Ldl Cholesterol ◽  
Psychiatric Patients ◽  
Southern Ethiopia ◽  
Antipsychotic Treatment ◽  
Female Sex ◽  
Specialized Hospital ◽  
Hawassa University

Background: Dyslipidemia is one of the adverse metabolic outcomes associated with psychotropic medications and the nature of the mental illness itself. Therefore, this study aimed to assess magnitude of dyslipidemia and associated factors among patients with severe mental illness on antipsychotic treatments. Methods: A cross-sectional study was conducted among 245 patients with severe mental illness in Hawassa University Comprehensive Specialized Hospital, Sidama Regional state, Southern Ethiopia. Socio-demographic and other important data were collected using a structured questionnaire through a systematic random sampling technique. Individual dyslipidemia was characterized by the National Cholesterol Education Program Adult Treatment Panel-III (NCEP ATP-III) guideline. Results: Mean total cholesterol (TC) was significantly higher in males when compared to females (162.2 mg/dl vs 121 mg/dl, P = .023). While, mean LDL-cholesterol was significantly higher in females when compared to males (100.9 mg/dl vs 93.6 mg/dl, P = .028). Overall 58.4% (95% CI: 52.2-64.8) of participants had at least 1 dyslipidemia. The prevalence of TC ⩾200 mg/dl, HDL-cholesterol <40 mg/dl, triglyceride (TG) and LDL-cholesterol were 61 (24.9%), 75 (30.6%), 66 (26.9%), and 47 (19.2%), respectively. Female sex and smoking were significantly and positively associated with LDL-c dyslipidemia, the aOR (95% CI) were 2.1 (1.0-4.2) for female sex and 3.4 (1.1-10.5) for smoking. Also, Age >40 years was significantly associated with TC dyslipidemia, the aOR (95% CI) was 2.0 (1.1-3.7). Conclusion: More than half of psychiatric patients are at risk of developing cardiovascular and other related health problems. Therefore, periodic screening of lipid profiles during healthcare follow-up is mandatory to limit risks of cardiovascular-related comorbidities among patients with severe mental illness.

scholarly journals Evaluation of uric acid disorders and associated factors in essential hypertensive patients at Wolkite University specialized hospital, Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256557
Author(s):  
Abebe Timerga ◽  
Kassahun Haile
Keyword(s):  
Uric Acid ◽  
Serum Uric Acid ◽  
Associated Factors ◽  
Antihypertensive Medication ◽  
Morbidity And Mortality ◽  
Outpatient Department ◽  
Southern Ethiopia ◽  
Hypertensive Patients ◽  
Specialized Hospital

Background Essential hypertension is a condition characterized by a rise in blood pressure of undetermined cause, includes 90% of all hypertensive cases and is a highly important public health challenge with major modifiable cause of morbidity and mortality. Uric acids disorders in particular hyperuricemia are significant problems in essential hypertensive patients and can cause substantial morbidity and mortality. Determination of uric acid disorders may play a major role in the management and early aversion of complications in hypertensive patient. Therefore, this study aimed to determine uric acid disorders and associated factors among essential hypertensive adults in the outpatient department at Wolkite University specialized Hospital, Southern Ethiopia from November 1 to February 30, 2021. Methods and materials An institional based cross sectional study was conducted on 270 essential hypertensive adults on follow-up in outpatient department from November 1 to February 30, 2021. Structured questionnaires through face to face interviews and participants’ medical records were used to collect information on determinants related with uric acid disorders. The blood specimen was collected and level of serum uric acid, blood sugar and lipid profile was measured using standard principles and procedures with an ABX Pentra 400 automated chemistry analyzer. Bivariate and multivariate logistic regression analyses were done to identify factors associated with hyperuricemia. The p-value was set at <0.05 with a 95% confidence interval of the adjusted odds ratio. Results A total of 270 adult essential hypertensive patients were participated in the study, among those 196(27.4%) of study participants were hyperuricemic with 95%CI (21.9, 33.3). Being alcoholic [(AOR: 15.68, 95% CI: (5.93, 21.41)], taking antihypertensive medication [(AOR: 11.56, 95% CI: (3.94, 23.80)], BMI > = 30 [(AOR: 4.89, 95% CI: (1.46, 25.5)] and being centrally obese [(AOR: 6.87, 95% CI: (2.53, 18.63)] were factors significantly associated with hyperuricemia. Conclusion In this study, the high burden of hyperuricemia (27.4%) was observed in essential hypertensive patients with follow-up in outpatient department. Taking alcohol and antihypertensive medication, being overweight and centrally obese were identified factors of uric acid disorders. The finding of this study should be taken into consideration to implement preventive interventions on identified predictors in hypertensive patients. Taking fruit and vegetable, and promoting physical exercise and determinations of serum uric acid level in adult essential hypertensive patients was recommended to minimize the emergence of hyperuricemia.

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