Background Stroke is one of the leading causes of severe disability and functional limitation, which are reasons for being dependent on their family for daily activities and participation in social affairs. After discharge from the hospital, most stroke survivors require physical, psychosocial, and financial support from caregivers at home, which is one of the most stressful events for families. The stroke survivors and their caregivers may influence each other during the caregiving process and social life. The stroke survivor’s disability and depressive symptoms affect the quality of life of the survivor and their caregivers. Therefore, the purpose of this study was to assess the prevalence and associated factors of depression among caregivers of stroke survivors. Methods An institution-based, cross-sectional study was conducted in Amhara regional state tertiary hospitals. A systematic random sampling technique was employed to select 424 participants. The data were collected using an interviewer-administered and chart-reviewed structured questionnaire. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression. Univariable and multivariable logistic regression analyses were performed to identify factors associated with depression. Adjusting the odds ratio with the corresponding 95% confidence interval and variables with a P-value < 0.05 was considered significantly associated with depression. Results The overall prevalence of depressive symptoms was 65.6% (95% CI: 60.8–69.8). Being female, older than 40, having no formal education, having a low family monthly income, being the son or daughter, and spending more than six hours per day were associated with depression. Conclusion We found that depression was prevalent among primary caregivers of stroke survivors. To reduce the risk of developing depression, policymakers should fully recognize the role of caregivers in caring for stroke patients. More attention should be given to caregivers who are female, elderly, have a low income, are sons or daughters, and spend a long time caring per day.
Background Lower limb fractures account for approximately one-third of all fractures. Lower limb fracture complications are one of the major reasons for hospital stays and have high impact on rehabilitation services. Functional limitations with lower extremities fractures are related to decreased functional mobility, the need for long term use of assistive devices, lack of independence, and the long term need for assistive care. This study aimed to assess the functional limitation and identify the possible predictors among lower limb fracture patients by using the Lower Extremity Functional Scale (LEFS). Methods A prospective institutional-based cross-sectional study was conducted from July to October 30/2020, at University of Gondar, comprehensive specialized hospital. The data of 226 participants were collected through face-to-face interviews, patient record review and by physical examination with simple random sampling techniques. Binary logistic regression was used to identify predictors of functional limitation among lower limb fracture with SPSS 25. The strength of the association was present by adjusted odds ratios (OR). Results One hundred and eighty-two (n = 182 (80.5%): 95% CI (74.8 to 85.8) patients with following lower limb fracture have functional limitation. Level of education (AOR =5.50; 95% CI: 1.707–17.742), presence of hospitalized complication AOR=3.26; 95% CI (1.147–9.294), severity of pain AOR=3.19; 95% CI (1.399–7.259), duration of onset AOR=9.512; 95% CI (3.585–25.237), knee flexion limitation AOR=7.13; 95% CI (1.926–26.368) were the independent risk factors for functional limitation. Conclusion The magnitude of functional limitation in following lower limb fracture individual was considerably high in study setup. Level of education, presence of hospitalized complication, severity of pain, duration of onset, knee flexion limitation were the independent risk factors for functional limitation.
Background work-related low back pain is one of the musculoskeletal conditions that has been extensively seen in several occupational groups. It is the more common occupational health problem. Therefore, our study aimed to assess the magnitude of work-related low back pain and associated factors among cleaners at Gondar University comprehensive specialized hospital. Method An institutional-based cross-sectional study was conducted from July to October 2021. Data analysis was done by SPSS Version-20 statistical software. Both bi-variable and multivariable logistic regression analyses were computed, and in the multivariable logistic regression analysis model, P-values less than 0.05 were considered statically significant. Result The findings of this study revealed that the magnitude of work-related low back pain among cleaners in the study area was 46.4% (95%CI;41.2%-51.5%) during the last 12 month. Always bend and twist body part (AOR:2.07,95%CI:1.86–5.03), Always Working above physical limit (AOR:3.59,95%CI:1.71–7.55) and always adapt awkward posture (AOR:2.91,95%CI:1.35–6.28) were factors associated with low back pain among cleaners. Conclusion The magnitude of work -related low back pain among cleaners in the study area was nearly half. Always bend and twist body part, working above physical limit and adapting an awkward posture were all significantly associated with low back pain in cleaners.
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