Prevalence of mental distress and associated factors among hospitalized medical surgical adult inpatients in public hospitals, Addis Ababa, Ethiopia, 2020.
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Date
2020-06
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Addis Abeba University
Abstract
Introduction: Mental distress is a mental or psychological syndrome, which influences the
health status and treatment effectiveness, getting quality of care in a hospitalized medical
surgical inpatients. It is more common in hospital setting than community setting population.
Objective: To assess the prevalence of mental distress and associated factors among
hospitalized medical surgical adult inpatients in public hospitals, Addis Ababa, Ethiopia, 2020.
Methods: Institutional based cross sectional study was conducted with a total of 408 study
subjects from March 1-30, 2020. Systematic random sampling technique was used and data was
collected using interviewer administered questionnaire. Data was collected by trained nursing
students, collected data was entered into Epi-data 3.1 and export to SPSS version 26 for analysis,
and then binary and multiple logistic regression was performed to check the association between
dependent and independent variable.
Result: The prevalence of mental distress among hospitalized medical surgical adult inpatients
in public hospitals was 53.1% with (95%CI; 48%, 58%). Variables of being married
[AOR=2.67; 95%CI(1.065,6.683)], private employee [AOR=2.21; 95%CI (1.001, 4.900)], daily
laborer [AOR=4.70; 95%CI(1.218,18.215)], rural residence [AOR=1.85; 95%CI(1.047,3.264)],
taking alcohol [AOR=1.68; 95%CI(1.025, 2.740)], previous psychiatric illness[AOR=3.40;
95%CI(1.078, 10.737)] and comorbidity [AOR=1.93; 95%CI (1.200, 3.094)] were found to be
significantly associated with mental distress; while age, sex, ethnicity, religion, educational
status, income, smoking, chat, social support, living condition, history of hospitalization, ward
admitted and length of hospital stay were not significantly associated.
Conclusion and recommendation: The prevalence of mental distress was high and being
married, private employee, daily laborer, residence in rural area, previous history of psychiatric
illness, alcohol used and comorbidity disorder were associated with mental distress among
hospitalized adult inpatients, there for health care providers should provide special consideration
to those group of patients admitted to the hospital.
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Keywords
Mental distress, hospitalized medical surgical adult inpatients, Addis Ababa.