scholarly journals Depression, Anxiety and Stress Levels among Chronic Disease Patients During COVID-19 Pandemic in Dessie Town Hospitals, Ethiopia

2021 ◽  
Vol 14 (1) ◽  
pp. 249-257
Author(s):  
Sisay Gedamu Addis ◽  
Abebe Dires Nega ◽  
Debrnesh Goshiye Miretu
Keyword(s):  
Multivariate Analysis ◽  
Chronic Disease ◽  
Female Gender ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Non Governmental Organizations ◽  
Chronic Disease Patients ◽  
Stress Levels ◽  
Before And After

Introduction: Coronavirus disease 2019 was first detected in China in December 2019. In Ethiopia, depression, anxiety, and stress levels of chronic disease patients were not known during COVID-19. Thus, this study aimed to assess depression, anxiety, and stress levels of chronic disease patients in government and private hospitals of Dessie town during COVID-19. Methods: Hospital-based cross-sectional study design was used. The Depression Anxiety and Stress Scale-21 was used to measure depression, anxiety, and stress of chronic disease patients during the current pandemic. Both binary and multivariate logistic regression analyses were performed to identify factors, and a significant association was declared at p-value < 0.05 in multivariate analysis. Results and Discussion: The overall anxiety, depression, and stress level were 19.9%, 21.5%, and 17.7%, respectively. In multivariate analysis, older age, female gender, urban residency, duration of living with chronic diseases, and presence of comorbidities were associated with depression of chronic disease patients during the pandemic at p-value <0.05. Age, female gender, presence of comorbidities, and no social support were associated with anxiety. Urban residency, use of hand sanitizer, those who had respiratory manifestations, and travel history in the last two weeks were significantly associated with stress levels. Conclusion: A significant number of chronic disease patients had depression, anxiety, and stress during the COVID-19 pandemic. Therefore, governmental and non-governmental organizations, health professionals, media, and hospital administrators should be involved to decrease the depression, anxiety, and stress of chronic disease patients during the pandemic. Moreover, we encourage researchers to conduct comparative longitudinal studies to assess depression, anxiety, and stress levels of chronic disease patients before and after the onset of the COVID-19 pandemic.

scholarly journals Hubungan Pembelajaran Jarak Jauh dan Gangguan Somatoform dengan Tingkat Stres Mahasiswa UIN Syarif Hidayatullah Jakarta

2020 ◽  
Vol 2 (1) ◽  
pp. 38
Author(s):  
Rizky Muharany Putri ◽  
Anissa Dwi Oktaviani ◽  
Adi Setya Frida Utami ◽  
Ni'mahturrohmah Latif ◽  
Halwa Ainaya Addiina ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Distance Learning ◽  
University Students ◽  
Somatoform Disorders ◽  
Cross Sectional Study ◽  
Educational Institutions ◽  
P Value ◽  
Cross Sectional ◽  
Stress Levels ◽  
Relationship Of

ABSTRAK Latar belakang. Physical distancing untuk mencegah penularan COVID-19 pada awal pandemi COVID-19 menyebabkan diterapkannya Pembelajaran Jarak Jauh (PJJ) di insititusi pendidikan, termasuk UIN Syarif Hidayatullah Jakarta.Tujuan. Penelitian dilaksanakan untuk mengetahui hubungan PJJ dan gejala gangguan somatoform terhadap tingkat stres pada mahasiswa UIN Syarif Hidayatullah Jakarta pada masa awal pandemi COVID-19.Metode. Penelitian ini adalah observasional analitik dengan pendekatan kuantitatif, desain studi cross sectional. Responden adalah 470 mahasiswa aktif Strata 1 UIN Syarif Hidayatullah Jakarta. Data diperoleh dengan penyebaran kuesioner secara online pada bulan April hingga Mei 2020. Analisis multivariat dilakukan dengan menggunakan uji regresi logistik ganda.Hasil. Frekuensi pelaksanaan PJJ memiliki hubungan signifikan dengan tingkat stres responden. Hasil analisis multivariat menunjukkan bahwa mahasiswa yang telah melaksanakan PJJ ≥12 kali cenderung memiliki stres tingkat rendah dibandingkan dengan mahasiswa dengan frekuensi PJJ<12 (nilai p= 0,039).  Gejala gangguan somatoform tidak memiliki pengaruh signifikan terhadap tingkat stres mahasiswa dalam melaksanakan PJJ (nilai p=0,228).Kesimpulan. Mahasiswa yang lebih sering melakukan PJJ cenderung memiliki tingkat stres yang lebih rendah. ABSTRACTBackground. Physical distancing to prevent transmission of COVID-19 at the beginning of the COVID-19 pandemic has led to the implementation of distance learning (PJJ) in educational institutions, including UIN Syarif Hidayatullah Jakarta Objective. The purpose of this study was to examine the relationship of distance learning and symptoms of somatoform disorders with stress levels of UIN Syarif Hidayatullah Jakarta students in the early COVID-19 pandemic.Method. This study used an analytic observational with a quantitative approach, cross sectional study design. Respondents were 470 active students of UIN Syarif Hidayatullah Jakarta. Data were obtained by distributing questionnaires via online in April to May 2020. Multivariate analysis was performed using a multiple logistic regression test.Results. The frequency of PJJ had a significant relationship with respondents' stress levels. The results of multivariate analysis showed that university students who had PJJ ≥12 times were more likely to have low levels of stress compared to students with PJJ frequency of <12 (p-value=0.039). Symptoms of somatoform disorders did not have a significant effect on the level of stress of university students (p-value=0.228).Conclusion. University students who had done PJJ more often were likely to have lower stress levels.

Phototherapy Induced Hypocalcemia in Neonates with Unconjugated Hyperbilirubinemia

2021 ◽  
Vol 11 (1) ◽  
pp. 4-8
Author(s):  
Amna Khan ◽  
Anila Farhat ◽  
Hamayun Anwar ◽  
Sajid Shamim ◽  
Mujeeb Ur Rehman ◽  
...  
Keyword(s):  
Serum Calcium ◽  
Calcium Level ◽  
Serum Calcium Level ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
P Value ◽  
Cross Sectional ◽  
Unconjugated Hyperbilirubinemia ◽  
Before And After

Objective: To determine the frequency of hypocalcemia in neonates with unconjugated hyperbilirubinemia receivingphototherapy.Study design and setting: Cross sectional study conducted at neonatal intensive care unit, King Abdullah Teaching Hospital,Mansehra for one year from December 2017 to November 2018.Methodology: Total 213 full term stable neonates of either gender with jaundice were studied in this study. Out of which,143 with unconjugated hyperbilirubinemia were exposed to phototherapy while 70 neonates with exaggerated physiologicalhyperbilirubinemia taken as control were not exposed to phototherapy. Serum calcium level was determined through bloodtest before and after 24 hours of phototherapy. SPSS version 22 was used to analyze the data. Frequency and percentageswere used to describe categorical variables like gender and hypocalcemia. Hypocalcemia was stratified by age and genderto see effect modifiers. Post stratified chi-square test was applied in which p value = 0.05 was considered as significancevalue.Results: In study group, 143 neonates who received phototherapy had mean age of 7 days ± 2.62 SD. Total 65% neonateswere male and 35% neonates were female. Mean serum calcium level of neonates before and after provision of phototherapywas 9.28 mg/dl ± 0.23 and 8.54 mg/dl ± 0.68 respectively, which is statistically significant. The frequency of hypocalcemiawas 40% in neonates with unconjugated hyperbilirubinemia after 24 hours of phototherapy.Conclusion: Hypocalcemia is an important complication in neonates with unconjugated hyperbilirubinemia after continuousphototherapy. Hypocalcemia has clinical impact and adds to morbidity, and if left untreated, can lead to mortality.

scholarly journals Role of Physiotherapy in Hospitalised Patients of COVID-19 disease

2021 ◽  
Vol 9 (3) ◽  
pp. 154-159
Author(s):  
Dr. Sanjay Kumar Bharty ◽  
◽  
Dr. Jitendra Kishore Bhargava ◽  
Dr. Brahma Prakash ◽  
Dr. Vikas Patel ◽  
...  
Keyword(s):  
Severity Index ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
Breathing Exercises ◽  
Hospitalised Patients ◽  
Before And After ◽  
Respiratory Physiotherapy

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.

scholarly journals Factors associated with health facility delivery in Kitui County: a cross sectional study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 522
Author(s):  
Mathew Munyamaara Mutiiria ◽  
Gabriel Gatimu Mbugua ◽  
Doris Marwanga
Keyword(s):  
Multivariate Analysis ◽  
Maternal Mortality ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Facility Delivery ◽  
P Value ◽  
Sectional Study ◽  
Health Facility Delivery ◽  
Cross Sectional ◽  
Factors Associated

Background: High maternal mortality rate is a major public health concern in developing countries.  Skilled birth delivery is central to reducing maternal mortality, yet health facility delivery remains low in Kitui County, Kenya. Our study estimated prevalence of unskilled delivery and identified factors associated with health facility delivery in Kitui County. Methods: A cross-sectional study was conducted December 2017-February 2018. 245 women from five administrative wards were interviewed. A structured questionnaire was used to collect data. Variables that had p value ≤0.05 in bivariate analysis were included in multivariable regression model to assess for confounders. Variables with a p value of ≤0.05 in multivariate analysis were considered statistically significant at 95% CI.  Results: We interviewed 245 (240 analyzed) women from the five wards; the majority were 16-25 years age group (45.5%; 110/240).  Mean age was 27±6.6 years. Prevalence of health facility delivery was 50.4%. Distance from a health facility, number of children in a household, occupation of the respondent’s partner, number of antenatal clinic (ANC) visits and means of transport were significant factors for not delivering in a health facility. On multivariate analysis, women who lived >5km from health facility were less likely to deliver in a health facility (AOR =0.36; 95% CI 0.15- 0.86). Women who attended ≥ 4 ANC visits were 4 times more likely to deliver in a health facility (95% CI 2.01-8.79). Conclusions: More than half of the respondents delivered in a health facility. A long distance from the health facility is a hindrance to accessing ANC services. Inadequate ANC visits was associated with home delivery. Improving accessibility of health care services and health education on family planning would increase delivery at a health facility. We recommend Kitui County introduce five satellite clinics/ambulatory services for expectant women to access ANC and maternal services.

scholarly journals Women’s attitude towards breast cancer in Baghdad city, Iraq

2017 ◽  
Vol 4 (6) ◽  
pp. 1800
Author(s):  
Tiba Nezar Hasan ◽  
Shamsul Azhar Shah ◽  
Hasanain Faisal Ghazi ◽  
Mohd Rohaizat Hassan
Keyword(s):  
Breast Cancer ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Governmental Organizations ◽  
Education And Health ◽  
Non Governmental Organizations ◽  
Health Promotions ◽  
Working Status ◽  
Self Administered Questionnaire

Background: Breast cancer is the most common cancer among women all over the world. The aim of this study was to measure the attitude of women regarding breast cancer and its associated factors in Baghdad city, Iraq. Methods: A cross-sectional study was done among 508 women aged 18 years old and above recruited randomly from 4 Non-Governmental Organizations (NGO) in Baghdad City during 2015. A self-administered questionnaire was used to collect the data from respondents. Results: A total of 66.1% had a good attitude, the association between attitude and marital status, education was not significant, while working status was significant with P value of 0.001. After controlling for other cofounders, the contributors for poor attitude were not working, P value of 0.002 and adjusted odds ratio of 2.08. Conclusions: The attitude among the respondents still considered not good as almost one-thirds of the respondents had poor attitude. The most important contributor to poor attitude was working status. More education and health promotions need to be done among general population to educate them regarding breast cancer in Baghdad City, Iraq. 

scholarly journals A autoimagem, os transtornos mentais comuns e a depressão em estudantes de graduação

2020 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Tarciso de Figueiredo Palma ◽  
Sara Maria Alves Ribeiro ◽  
Vitória Maria Teixeira Santos
Keyword(s):  
Physical Activity ◽  
Major Depression ◽  
Undergraduate Students ◽  
Common Mental Disorders ◽  
Female Gender ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Self Image ◽  
Suicidal Ideas

Este estudo objetivou analisar a preocupação com a imagem corporal, os transtornos mentais comuns e a depressão. Foi realizado um estudo de corte transversal analítico e exploratório, com 117 estudantes de graduação em uma instituição do interior da Bahia. Estimou-se as prevalências das variáveis estudadas, testou-se as associações, através do qui-quadrado e foi usada a regressão logística binária para ajustes das variáveis. A ideação suicida apresentou prevalência alta (18,8%) em comparação a preocupação exagerada com a autoimagem (13,4%). As prevalências de Depressão Maior e de TMC foram, respectivamente, de 39,3% e 54,7%. Houve associação significativa com TMC para: sexo feminino (RP = 2,9; 1,5 – 5,4), realizar atividade física menos que duas vezes por semana (RP = 1,6; 1,1 – 2,3), estar desempregado (RP = 1,5; 1,1 – 2,2). Já para a depressão maior, houve significância para: realizar atividade física menos que duas vezes por semana (RP = 1,9; 1,2 – 3,1), estar desempregado (RP = 1,9; 1,2 – 3,1), ter ideias suicidas (RP = 2,1; 1,4 – 3,1) e ter preocupação exagerada com a autoimagem (RP = 2,2; 1,5 – 3,3), mesmo quando ajustado por idade e sexo (p-valor = 0,015). ABSTRACTThis study aimed to analyze the concern with body image, common mental disorders and depression. An analytical and exploratory cross-sectional study was carried out with 117 undergraduate students at an institution in the countryside of Bahia. The prevalence of the variables studied was estimated, associations were tested using the chi-square and binary logistic regression was used to adjust the variables. Suicidal ideation had a high prevalence (18.8%) in comparison to the exaggerated concern with self-image (13.4%). The prevalence of Major Depression and CMD were 39.3% and 54.7%, respectively. There was a significant association with CMD for: female gender (PR = 2.9; 1.5 - 5.4), performing physical activity less than twice a week (PR = 1.6; 1.1 - 2.3), being unemployed (PR = 1.5; 1.1 - 2.2). For major depression, there was significance for: performing physical activity less than twice a week (PR = 1.9; 1.2 - 3.1), being unemployed (PR = 1.9; 1.2 - 3, 1), having suicidal ideas (PR = 2.1; 1.4 - 3.1) and being overly concerned with self-image (PR = 2.2; 1.5 - 3.3), even when adjusted for age and gender (p-value = 0.015).

Evaluation of Blood Pressure Changes after IAN Block Injection with Lidocaine and Epinephrine 1:80000 and its Relation with Anxiety

2021 ◽  
Author(s):  
Forough Parnianjooy ◽  
Arash Gholestaneh ◽  
Yamin Haghani
Keyword(s):  
Blood Pressure ◽  
Dental Anxiety ◽  
Injection Pressure ◽  
Cross Sectional Study ◽  
Anxiety Level ◽  
Anxiety Score ◽  
P Value ◽  
Cross Sectional ◽  
Before And After ◽  
Lidocaine Injection

Introduction: Many patients experience anxiety when they visit a dentist and anxiety causes an increase in the patient's blood pressure, as well as an injection of epinephrine, is also effective in increasing the blood pressure of the patients. The aim of this study was to investigate changes in blood pressure following injection of lower jaw blocking with lidocaine containing 1: 80000 epinephrine and its association with anxiety level in patients Materials and Methods: In this cross sectional study, 129 patients referred to the dental school of Islamic Azad University of Khorasgan were selected and their blood pressure was measured before injection of anesthetic drug and ten minutes later. The anxiety level of the patients was determined using a dental anxiety inventory and the relationship between the level of anxiety and blood pressure in the patients before and after injection was measured. Data were analyzed by T-paired statistical test, regression and Pearson test. Results: There is a positive correlation between the patient's systolic and diastolic blood pressure before the injection and the anxiety score is significant (p value < 0.001). There was also a significant association between the degree of correlation between mean pressure and anxiety score (p value < 0.001). There was a positive and significant correlation between injection pressure and anxiety scores. (p value < 0.001). Conclusion: Lidocaine injection containing epinephrine 1: 80,000 in patients undergoing mandibular block is associated with a significant increase in patients' systolic blood pressure. There was also a significant relationship between patients 'levels of anxiety and blood pressure, which had a greater effect on patients' blood pressure than epinephrine injections.

scholarly journals Fatigue in Loading and Unloading Workers at the Port

2020 ◽  
Vol 16 (1) ◽  
pp. 93-100
Author(s):  
Viranda Nedine Putri Watulinggas ◽  
Mona Lestari ◽  
Novrikasari Novrikasari ◽  
Desheila Andarini ◽  
Anita Camelia
Keyword(s):  
Sun Exposure ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Work Climate ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Before And After ◽  
Chi Square Test ◽  
The Right

The port has a fairly dense loading/unloading activity according to the total flow of goods it manages. In addition to high work activities, environment factors such as noise and work climate can also affect the occurrence of work fatigue.  Therefore, this study aims to determine factors associated with work fatigue in loading/unloading workers at the port.  This study uses cross sectional study design with simple random sampling.  Data analysis used the Paired Sample T-Test and Chi-Square test.  The results showed that there was a difference of fatigue before and after work and as many as 71.2% of workers experienced moderate fatigue.  It is known that age (p-value = 0,000), breakfast habits (p-value = 0,000), and years of service (p-value = 0,000) have a significant correlation with work fatigue, while nutritional status (p-value = 0.203), workload (p-value = 0.140), hot work climate (p-value = 0.362), and noise (p-value = 0.880) have no correlation with work fatigue.  It was concluded that age, breakfast habits and work duration were related to work fatigue in loading/unloading labor.  Therefore, workers are advised to be used to have breakfast with the right menu and time and workers should wear hats while working to reduce sun exposure.

scholarly journals Tingkat Stres Dan Perawatan Diri (Self-Care) Pada Klien Diabetes Melitus Tipe 2 Di Poli Penyakit Dalam BLUD RSUD Dr. Doris Sylvanus

2020 ◽  
Vol 6 (1) ◽  
pp. 91-95
Author(s):  
Natalansyah Natalansyah ◽  
Wulandari Wulandari ◽  
Barto Mansyah
Keyword(s):  
Metabolic Diseases ◽  
Self Care ◽  
International Diabetes Federation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Mild Stress ◽  
Cross Sectional ◽  
Stress Levels

The International Diabetes Federation (IDF) estimates the number of DM increases in Indonesia from 9.1 million in 2014 to 14.1 million in 2035. Type 2 diabetes is the most common type. Diabetes is a group of metabolic diseases characterized by hyperglycemia due to defects in insulin secretion, insulin action, or a combination. Diabetes mellitus can cause clinical changes in diabetics. The purpose of this study was to study the relationship of stress levels with self-care on type 2 DM clients in BLUD Internal Medicine dr. Doris Sylvanus. This research method uses a cross-sectional study design, with a purposive sampling technique, the number of samples in this study were 35 respondents, collecting data using a Diabetes Self-Care Activity Summary questionnaire (SDSCA and Diabetes Disorders Scale (DSS) and analyzed using the chi-square test The results of this study indicate that of the 20 respondents who were severely stressed 18 respondents were not good in self-care and of the 15 respondents who increased mild stress 10 respondents were able to perform self-care well. = 0.001, where the p-value <α (α = 0 05) It can be concluded that there is a significant relationship between stress levels and self-care where the higher the stress level, the lower the self-care treatment.

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