scholarly journals Magnitude and Associated Factors of Depression Among Hypertensive Patients Attending Treatment Follow Up in Chronic OPD at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia

2020 ◽  
Vol Volume 13 ◽  
pp. 31-39
Author(s):  
Bereket Beyene Gebre ◽  
Bedilu Deribe ◽  
Mintesnot Abeto
2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
Bedilu Deribe ◽  
Mintesnot Abeto

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).


2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
ZEWDE OLTAYE OCHE

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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256557
Author(s):  
Abebe Timerga ◽  
Kassahun Haile

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.


2019 ◽  
Author(s):  
Bedilu Deribe ◽  
Wegene Jemebere ◽  
Gezahegn Bekele

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.


2021 ◽  
Author(s):  
Mesay Yoseph ◽  
Achamyelesh Gebresadik ◽  
Akalewold Alemayehu

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.


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