Teshager, W/giorgis (2016) Prevalence of Depression and Associated Factors among Adult Diabetic Patients Attending Outpatient Department, at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia, 2016. Masters thesis, Addis Ababa University.
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Abstract
Background: Diabetes and depression are a highly prevalent, devastating and disabling condition associated with high morbidity, mortality, and healthcare consumption. Co-existing depression in people with Diabetes mellitus (DM) results in decreased adherence, poor health outcome, decreased quality of life, increased disability, lost productivity increased and risk of death. Prevalence and contribute factors were varies from pace to place and data on depression in the diabetes patients in Ethiopia are scarce particularly in the study area that which needs further investigation. Objective: The aim of this study was to determine the prevalence and associated factors of depression among outpatients with diabetes in Felege Hiwot Referral Hospital. Method: Institution based cross-sectional study was conducted on outpatients from Felege Hiwot Referral Hospital. A face to face interview was conducted using structured questionnaire by trained and experienced health professionals. The participants were selected by using systematic random sampling technique. Depression was assessed by Patient Health Questionnaire- 9 (PHQ 9) and data was analyzed by using simple descriptive, univariate and multivariate logistic regression analysis method. P <0.05 with 95% CI was considered statistically significant. Result: Of 416 people interviewed; 25.72% fulfilled the criteria for mild, 6.73% for moderate, 5.53% for moderately sever, and 2.40% for severe form of depression two weeks prior to the study period respectively. The overall prevalence of depression among patient with diabetes was 40.4% when a cut-off score of PHQ 9 ≥ 5 was used. Poor social support (AOR 5.82, 95% CI (2.821, 12.004)); age 45-54 years old (AOR: 2.717, 95% CI (1.041, 7.096)); oral hypoglycemic treatment regime (AOR: 2.213, 95% CI 1.174, 4.171)) and high fear of complication (AOR 9.129, 95% CI (4.97, 16.769)) were found statistically significant factors. Conclusion: This study revealed a relatively high prevalence of depression episodes in diabetic outpatients. High perceptions for fear of complication, less level of social support, oral hypoglycemic treatment regime and adult age (45-54) were found to be the most important risk factors for depressive episodes. Therefore, providing social support co-morbid depression could help ameliorate some of the deleterious effects of depressive symptoms in DM outpatients.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Diabetes; Depression; Adult patient; Co-morbidity; Associated factors |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 09 Aug 2018 12:10 |
| Last Modified: | 09 Aug 2018 12:10 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8213 |
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