Psychiatry

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/65

Browse

Browsing Psychiatry by Author "Alemayehu Biruh"

Now showing 1 - 5 of 5
  • No Thumbnail Available
    Item
    Lived Emotional Experience of Frontline Healthcare Provider of Patients with COVD-19 who are Working at EKA KOTEBE General Hospital Addis Ababa, Ethiopia, 2020.
    (Addis Abeba University, 2020-10) Bekele Nega; Baheretibeb Yonas ; Alemayehu Biruh
    Background :The pandemic of 2019 coronavirus disease (COVID-19) has burdened and caused psychological impacts on people around the world, especially on the healthworkers. This study focuses on assessing the lived emotional experiences offrontline healthcare workers at eka-kotebe hospital. Objective -To explore the lived emotional experience of frontline health care workers caring for COVID-19 patients at eka-kotebe hospital which is serving asa center for patients who are positive for coronavirus Method: A qualitative study was done on frontline health workers of covid-19patients at eka-kotebe hospital which currently serving as a center by using semi structured questions that were prepared after referring different articles done on the issue and undergoing a 35-50 min. phone interview and the result wasanalysed using thematic analysis Finding: The lived emotional experiences of front line health care workers caringfor COVID-19 patients can be summarized into four themes. Summarised thefindings into four themes: Firstly, significant amounts of negative emotions dominated initially and decreased with time, consisting of anxiety, fear, andsadness, was caused by the new working environment and challenges experienced as the result of nature the illness, which impacted the quality ofcare that the caregiver was provided initially. Secondly, living under pressure,which included new challenges occurred, fear of being infected and professional responsibilities and thirdly, changes, coping style, and support, which included life changes resulted negative emotions Life adjustment negative advice initially about the service from significant other support obtained from significant other,staff and institution and finally, issues related to the service Conclusions: This epidemic outbreak resulted significant negative emotions on the front-line health workers which impacted their service greatly. In the earlystage, negative emotions were dominant, calmness, relaxation, emotional stability and adaptation to the situation appeared gradually. Self-coping styles and support obtained from the system as well as from significant others played an important role in maintaining the mental health or emotional stability of front line health workers.
  • No Thumbnail Available
    Item
    Lived Experience of Care Givers of People with Dementia (Major Neuro Cognitive Disorders) in Addis Abeba:a qualitative study.
    (Addis Ababa University, 2019-06) Gashaw Fanuel; Alem Atalay; Alemayehu Biruh
    Introduction:Dementia is a multifactorial syndrome characterized by Impairment in memory, communication, judgment, orientation, problem solving and cognition. People with dementia require increasing amounts of assistance in activities of daily living and behavioral symptoms. In low income countries most of the assistance is provided by informal care givers. There is no available study on care givers of dementia patients and their lived experience. Objective:To explore and describe lived experience of care givers of people living with dementia. Method:A qualitative research design was used. Participants were recruited using purposive sampling. Sampling was until theoretical saturation is achieved. Six in depth interviews were done. The interviews were audio recorded, transcribed in Amharic and translated in English. Thematic analysis was used to identify key themes. Results:The major findings from this study are care givers lack understanding about the diagnosis of dementia .Care givers day to day life is filled with assisting their care recipients and dealing with problematic behaviors. Negative emotional states and financial problems were raised in association with care giving process. They tend to be more involved in religious activities and seek help from other family members to deal with the challenges.
  • No Thumbnail Available
    Item
    Perspective of Teachers on Substance Abuse among High School Students at Tikur Anbessa Secondary School, Addis Ababa, Ethiopia: A Qualitative Study.
    (Addis Ababa University, 2022-01) Eshetu Wudasie; Alemayehu Biruh; Teferra Solomon
    Background :Substance abuse is a patterned, harmful and hazardous use of psychoactive substance (drug)including alcohol and illicit drugs in which the user consumes the substance in amounts or withmethods which are harmful to them or others. Globally, drugs and substance abuse continue to bechallenge, especially among the youth in school and out of school. It negatively impacts the academic, social, psychological and physical development among the abusers. Schools may will be able to influence drug use behavior and the primary role of the school is to teach skills, to impartknowledge and establish a sound value base in relation to health and drug use. Objectives :The objective of this study is to explore the perspective of teachers on substance abuse among TikurAnbessa secondary school students. Method :A qualitative research design was used. Target population of this study were teachers in Tikur Anbessa Secondary school. Participants were recruited using purposive sampling technique.Sampling continued until theoretical saturation was achieved and twelve in depth interviews weredone. The interviews were audio recorded, transcribed in Amharic and translated into English. Tdata were coded using Open code software 4.03. Thematic analysis was used to identify key theme Results :This study showed teachers had good understanding about adolescent substance use. The study identified respondents had knowledge on the possible factors that led to substance use. All of the teachers mentioned the possible consequences of drug use on the student’s life. The teachers mentioned themselves as responsible on mitigation of drug besides other responsible bodies like families, other school community, neighbors, governmental and non-governmental bodies and religious institutions; they also said prevention of drug use is everyone’s responsibility, but still some teachers mentioned having knowledge gap on drugs. Recommendation :Schools are the best places to teach students about the harms associated with substance misuse. If the Ethiopian Ministry of Education applies organized school-based prevention programs, it will prevent harm associated with using substance. It is recommended this school-based prevention program includes providing adequate training to teachers, integration into curriculum, involvement of parents and collaboration with other stakeholders. Regulating school environment and itssurroundings is also recommended to limit access to substances. Punitive measures such as expulsion of students who are found using substances from school shoulbe done in a less psychologically traumatic way.
  • No Thumbnail Available
    Item
    The Psychological Experience of Covid-19 tested Positive People in Eka Kotebe Hospital, Addis Ababa, Ethiopia: Coping and Resilience: A qualitative study.
    (Addis Abeba University, 2020-10) Alemu Dagim; Teferra Solomon; Alemayehu Biruh
    Introduction: It has been seven and half months since the first Novel Corona Virus case was reported in Ethiopia. The number of infected people has been rapidly expanding globally and nationally. In Ethiopia, as of October26, 2020, it has reached to 93,343 infected and 1,426 deaths. There are few studies that have explored thelived experiences of previous epidemic outbreaks of emerging infectious diseases including Ebola, Severeacute respiratory syndrome (SARS), Influenza A (H1N1) and Middle East respiratory syndrome (MERS).Except one Study from China, there is a dearth of research on the psychological experience of COVID-19hospitalized patients and there is no such study conducted in Ethiopia. Objective :To explore and describe the psychological experience and the coping and resilience of COVID-19hospitalized patients in Eka Kotebe hospital Addis Ababa, Ethiopia. Method :A phenomenological qualitative study design was used. Participants were recruited using non-probabilistic heterogeneous purposive sampling technique from the hospital referred above. Participants were those who are confirmed cases of COVID-19 infection, consented to take part, speak Amharic language fluently and on stable medical condition. Sampling proceeded until theoretical saturation was achieved. Eleven in-depth telephone interviews were conducted and seven were included in the results.The in-depth interviews were audio recorded, transcribed and translated into English. Thematic analysiswas used to identify key themes. Results: There major themes were identified describing the initial emotional reaction, daily life in hospital andstressors as well as resilience and ways of coping. Initial response towards the disease included fright,denial and anger during the early stages, which dissolved into acceptance in the later stages and mix ofpositive and negative emotions towards the end of hospitalization. The primary sources of stress were theinadequacy of information about the disease, health and economical stability of family, concern aboutlong term sequela of the disease and stigma. Despite these, all the study subjects displayed strongresilience and coping mechanisms whereby they engaged themselves in some form of coping mechanismswhich included taking advantage of the social support by engaging themselves in group and pairconversations and practicing spiritual rituals together. Different contributing factors were considered fortheir resilience which encompasses the role of having a cognitive capability to understanding the disease,lessons learned from wisdom of their role models in life or adverse experiences during early life and most importantly having a faith. Finally, most participants expressed the moral lessons gained from their experience with COVID- 19 and reflected on their positive outlooks. Conclusion The COVID-19 pandemic has caused emotional distress among the patients. The findings inthis study also have some unique elements of the perceived stressors and coping strategies. The mainfeatures centered upon the stigma and discrimination, safety of family, economic stability, role of culture,religious believe and ritual practices. These results promote understanding of the language and behaviorof patients, enhance communication, inspire to denote interventions targets and pave the way for futureresearches studying the long-term psychological experience from COVID-19.
  • No Thumbnail Available
    Item
    Subjective Experience of Patients with Schizophrenia Participating in arts Involving Activities at a Specialized Psychiatric Hospital in Addis Ababa, Ethiopia: A Qualitative study
    (Addis Ababa University, 2017-01) Alemayehu Biruh ; Assefa Dawit
    Arts therapies have positive effects on psychotic symptoms, psychosocial functioning and the ability to mentalize in patients with schizophrenia (3). These therapiesare not formally practiced by trained art therapists in Ethiopia however the term ‘arts involving activities’ is used in this paper to describe interventions that promote the experience of creative artistic activities such as painting and drawing, dancing, music and drama.In our country, Amanuel Mental Specialized Hospital is the only psychiatric specialized hospital that provides art involving activities, and thesubjective experiences of patients with schizophrenia participating in such activities are not yet explored.Statement of the problem Patients’ subjective experiences of participating in arts involving activities are unexplored. Research question:What is participants’ understanding of the reasons for participating in arts involving activities? What do participants enjoy/ like about, not like/ avoid from the activities and what are their respective reasons? What are participants’ perceived benefits from the activities and their opinions regarding the service they were involved in? Method:An exploratory qualitative research design was used. In-depth interviews with the use of prepared topic guides were conducted after obtaining consent form each participant. We involved 18 patients with the diagnosis of schizophrenia who fulfilled inclusion criteria. Data was recorded, transcribed verbatim, translated into English, coded and thematically analyzed. Results:Majority of patients reported having mental illness and need for treatment as their reason of admission; getting entertainment and happiness was reported as their reason of participation in rehabilitation center. Significant number of patients reported positive experiences by participating in arts involving activities. Few of patients reported their negative experiences in their participation of specific arts involving activities. Majority of patients reported positive outcomes but no negative outcome from their participation. Our findings indicate postitive impact of arts involving activities on their mood, communication skills, social engagement, overcoming stigma, physical health and on their motivation to take role for their recovery. Nearly all of them were content with the service provision with some indicating room forimprovement. Conclusion:In treatment of schizophrenia, focus on the patient as a whole rather than symptom reduction is required to facilitate the process of recovery.