成人身体残疾患者的抑郁状况基于制度的横断面研究

Daniel Ayelegne Gebeyehu, Dessalegn Negaa, Zewdu Baye Tezera
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引用次数: 1

摘要

背景:身体残疾的人患抑郁症的几率是普通人群的三倍。在埃塞俄比亚,估计有1500万残疾人。尽管残疾负担沉重,但人们对此知之甚少;出于这个原因,目前的研究旨在确定患有身体残疾的成年人的抑郁程度及其相关因素。方法:采用横断面法,对在贡达尔肢体残疾康复与职业中心登记的肢体残疾患者进行研究。所有在康复中心有身体残疾的人都参加了这项研究。采用面对面访谈的方法来评估抑郁症的存在及其决定因素。本研究采用贝克抑郁量表II来评估抑郁状态。采用多变量logistic回归模型来观察抑郁与自变量之间的关联强度和方向。结果:研究发现抑郁症发生率为75.5%。有内在耻辱感5.03 (AOR=5.03 (95% CI: 2.30, 9.99),社会支持差(5.36 (AOR=5.36 (95% CI: 2.41, 10.8))和饮酒者(2.77 (AOR=2.77(1.24, 6.17))与患抑郁症的可能性相关。结论:在这项研究中,抑郁症被发现是身体残疾的成年人的一个主要健康问题。早期发现和定期筛查抑郁症,及时给予治疗,使培训富有成效,设计教育计划,建立社区意识,提供良好的社会支持,使身体残疾的人有信心和自力更生的感觉,这些都是有帮助的。
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Depression in Adults with a Physical Disability; An Institution Based Cross Sectional Study
Background: Depressions in person with physical disabilities are three times more common than in the general population. In Ethiopia, there are an estimated 15 million persons with disabilities. Despite the high burden of disability, very little is known about it; for this reason, the current study aimed at determining the magnitude of depression and its associated factors among adults with a physical disability. Methods: The study is a cross-sectional type conducted on individuals with a physical disability registered in Gondar physical disability’s rehabilitation and vocational center. All individuals with a physical disability attending the rehabilitation center were enrolled in the study. Face to face interview technique was used to evaluate the existence of depression and its determinants. In this study, the Beck Depression Inventory scale II was used to assess the status of depression. A multivariate logistic regression model was employed to see the strength, as well as the direction of the association between Depression and independent variables. Results: The study found that the frequency of depression was determined as 75.5%. Having a perceived internal stigma 5.03 (AOR=5.03 (95% CI: 2.30, 9.99), Poor social support (5.36 (AOR=5.36 (95% CI: 2.41, 10.8) and those who consume alcohol (2.77 (AOR=2.77 (1.24, 6.17) were associated likely to have depression. Conclusion: In this study, depression found to be a major health problem among adults with a physical disability. Early detection and regular screening for depression to give timely treatment as well as make the training fruitful, designing educational programs to build the community’s awareness to providing good social support and creating a sense of confidence and self-reliance in people with a physical disability would be helpful.
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