Browsing by Author "Tamrat, Edna Gebremichael"

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    Assessment of the Long Term Unmet Supportive Care Needs of Stroke Survivors and associated factors in Tikur Anbessa specialized hospital and Saint Pauls’ hospital millennium medical college.
    (Addis Abeba University, 2020-06) Tamrat, Edna Gebremichael; Gizaw, Muluken(MPH, PhD can.); Getachew, Sefonias (MPH, PhD can.); Mamushet, Yared(MD)
    Background Stroke is a global public health problem with a magnitude of 13.7 million new stroke cases and 25.7 million stroke survivors. Even though the exact burden of Stroke in Ethiopia remains undocumented, it has been estimated that stroke deaths in Ethiopia reached 6.23% of total deaths in 2017. Identifying the unmet needs of stroke survivors is essential to design interventions that can potentially hasten their recovery process and improve their quality of life. Hence, the aim of this study is to determine the Long Term Unmet Supportive Care Needs of Stroke Survivors in Tikur Anbessa specialized hospital and Saint Pauls’ hospital millennium medical college. Method Institution-based quantitative cross-sectional study was conducted on Stroke Survivors who came to the neurology outpatient department for a follow up in Tikur Anbessa Specialized Hospital and Saint Paul's Hospital Millennium Medical College. A total of 422 participants were included in the study. Data was entered on EPI info and analyzed using SPSS version 25. The dependent variable long term unmet need was dichotomized as no need and unmet need. Binary and multivariable logistic regression were done to examine the predictors against the outcome of interest. Result Among the 422 participants which were included in the study 57.6% were male. The median age of participants was 54.5 years with IQR (42.75-62.25) years. Three hundred sixty (85.3%)of the respondents had Ischemic stroke. Seeking information about stroke and how to avoid another recurrence (98.6%), concerns about public transport utilization (80.6%) and needing advice about improving diet (79.4%) were the most frequently reported unmet needs. Long term unmet supportive care needs of stroke survivors were significantly associated with lower educational status (AOR= 6.5; 95% CI 2.1,20.5), time since last stroke attack (AOR=2.0; 95% CI 1.1, 3.5, being hypertensive AOR= 5.3; 95% CI 3.1, 9.1), having heart diseases (AOR=2.6; 95%CI 1.4,4.9) and physiotherapy utilization (AOR= 3.4; 95% CI of 1.839,6.369). Conclusion The results from this study suggest significant unmet needs and gaps in clinical and rehabilitation care in long-term stroke patients. High levels of unmet needs were reported by people who had their last stroke attack within 6-12 months, with low educational level and have comorbidities. The development of services to meet long-term needs among stroke survivors is warranted.