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1.
PLoS One ; 14(11): e0224792, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31721808

RESUMO

BACKGROUND: Postpartum depression is a non-psychotic disorder that happens during the first 1year after childbirth. It affects both the mother's health and child's development and is given significant public health concern in developed countries. However, in developing countries including Ethiopia, postnatal care is mainly concerned with obstetric problems and the baby's health, while the psychological well-being of the mother is given little attention. Therefore, this study was aimed to assess the magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, West Ethiopia, 2019. METHODS: Community-based cross-sectional study was conducted on 295 postnatal women, from May 15 to June 5, 2019, in Nekemte town. The study participants were selected by a simple random sampling method and interviewed using structured questionnaires. Multivariable logistic regression was used to find the independent variables which are associated with postnatal depression. All associations between dependent and independent variables and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05. RESULTS: From the total of 295 women sampled, 287 were participated in the study. Out of these 287 women participated, 20.9% had developed postnatal depression. Unplanned pregnancy (AOR = 7.84, 95% CI: 3.19, 19.26), Being first time mother (AOR = 4.99, 95% CI: 1.54, 16.09), History of previous depression (AOR = 3.06, 95% CI: 1.06, 8.82), Domestic violence (AOR = 5.92, 95% CI: 2.44, 14.40), History of substance use (AOR = 3.95, 95% CI: 1.52, 10.30) and poor social support (AOR = 6.59, 95% CI: 2.25, 19.29) were significantly associated with postnatal depression. CONCLUSION: In this study, the magnitude of postnatal depression was found moderate compared to other studies. Perinatal depression screening and intervention need to be integrated with maternal health care services, especially for mothers at risk of postnatal depression.

2.
BMC Res Notes ; 12(1): 679, 2019 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-31640789

RESUMO

OBJECTIVE: The aim of this study was to assess health-related quality of life and its associated factors among epileptic patients in public hospitals of Wollega zones, Ethiopia. Institutional based cross-sectional study was conducted on 402 epileptic patients, from March 01 to March 30, 2018. Multiple linear regression with backward elimination was used, and all analyses were conducted at the 0.05 significance level. RESULTS: The overall mean total score on the WHOQOL-BREF scale was 60.47 with ± 23.07 SD. Monthly income ≤ 500 EB (ß = - 12.49, P < 0.001), living alone (ß = - 7.11, P = 0.007), adverse drug reaction (ß = - 10.86, P < 0.001), comorbidity of anxiety (ß = - 12.99, P < 0.001), perceived social stigma (ß = - 9.73, P < 0.001) and frequency of seizure once per week (ß = - 8.41, P = 0.001) were negatively associated with quality of life of epileptic patients. The mean quality of life of patients living with epilepsy in this study was low. The clinician should early recognize and treat drug side effects, detect and manage comorbidity, and control seizure in order to increase quality of life of epileptic patients.

3.
BMC Nurs ; 18: 39, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31485197

RESUMO

Background: The ethical climate is one aspect of an organization which refers to the shared perceptions of ethically correct behaviors and way of handling ethically deviated behaviors. Increased awareness of the complexity of ethical issues in the health care setting has fueled interest in nursing ethics. However; there is limited information on the relationship between nurses' perception of ethical climate and job satisfaction globally and no study was done on this issue particularly in Ethiopia. Therefore, this study was aimed to assess the relationship between nurses' perception of ethical climates and job satisfaction in Jimma University Specialized Hospital, southwest Ethiopia, 2016. Methods: Institutional based cross-sectional study was conducted on 266 nurses in Jimma University Specialized Hospital from March to April 2016. The study participants were invited by using simple random sampling method. Data were collected using self-administered questionnaires and were entered into Epidata 3.1 and analyzed using SPSS Version 20.0. Pearson's correlation was used to assess the correlation between each dimension of the hospital ethical climate and job satisfaction of nurses. Variables significant at bivariate analysis (P < 0.25) were considered as a candidate for the multivariable linear regression analysis. All analyses were conducted at the 0.05 significance level. Results: The percentage mean score for ethical climate and job satisfaction were 53.4 and 51.3% respectively. Law and code climate significantly influenced job satisfaction (ß = 1.53, p = 0.000). Caring climate also significantly influenced nurses job satisfaction (ß = 0.99, p = 0.000). The result also showed that an independence climate significantly influenced job satisfaction (ß = 0.62, p = 0.041). On the other hand, rule climate and instrumental climate did not significantly affect job satisfaction (ß = 0.380, p = 0.409 and ß = - 0.208, p = 0.290 respectively). The adjusted R square was 0.601, indicating that 60.1% of the variations in job satisfactions was explained by ethical climate variables. Conclusion: The different dimensions of ethical climates have a negative or positive impact on nurses' job satisfaction and maintaining a positive ethical climate is key to increasing nurses' job satisfaction.

4.
BMC Res Notes ; 12(1): 527, 2019 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-31429805

RESUMO

OBJECTIVE: The aim of this study was to assess the prevalence and factors associated with depression among people living with HIV/AIDS attending Gimbi General hospital, West Ethiopia. Institutional based cross-sectional study was conducted on 404 HIV/AIDS patients, from March 01 to March 30, 2018. Multivariable logistic regression was used to determine factors associated with depression. Possible association and statistical significance were measured using odds ratio at 95% confidence interval and P-value less than 0.05. RESULTS: A total of 393 HIV/AIDS patients were included in this study. Out of this, 41.7% had depression. Perceived social stigma (AOR = 6.98, 95% CI 3.07, 15.86), opportunistic infection (AOR = 9.38, 95% CI 4.21, 20.89), adverse drug reaction (AOR = 3.73, 95% CI 1.58, 8.81), absence of family/social support (AOR = 9.97, 95% CI 3.57, 27.86), and presence of other chronic diseases (AOR = 6.14, 95% CI 1.66, 22.68) were significantly associated with depression. The level of depression among HIV/AIDS patient in this study was high. The clinician should early recognize and treat drug side effects, early detect and manage opportunistic infection and other chronic diseases, and give health information about the disease for the community to reduce social stigma.


Assuntos
Síndrome de Imunodeficiência Adquirida/tratamento farmacológico , Síndrome de Imunodeficiência Adquirida/psicologia , Terapia Antirretroviral de Alta Atividade , Depressão/epidemiologia , Hospitais Gerais , Adulto , Comportamento , Etiópia/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Análise Multivariada
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