Anxiety and the associated factors among admitted surgical and medical patients, Addis Ababa, Ethiopia: A cross-sectional study

Abstract

Background Anxiety is a common comorbid mental health problem with different medical illnesses and it can complicate major medical health problems. Despite its impact of physical functioning, quality of life, drug adherence, use of health service resources, good health behaviors, and increasing suicidal tendencies and mortality, it is neither diagnosed nor treated. Therefore, this study aimed to explore the prevalence of anxiety and its determinants among admitted patients for the contribution of attempting optimal care for of these patients. Method An institution based cross-sectional study was conducted among adult surgical and medical inpatients from May 13 to June 12, 2019. Systematic random sampling technique was used to recruit a total of 590 participants. Binary logistic regression was employed to identify factors associated with anxiety symptoms. Odds ratio with 95% confidence interval was used to assess the strength of the association, and variables with p-value of < 0.05 was declared as statistically significant. Result The overall prevalence of anxiety was 62.7% with 95% CI (58.6, 66.9). In the multivariate analysis; female sex, being single, previous history of admission, and multiple medical diagnosis were factors significantly associated with anxiety symptoms. Conclusion In this study, the prevalence of anxiety among medical and surgical inpatients was found to be high. Therefore, it is better to screen any risks of anxiety, and psychological assessment tests are better to be integrated into routine hospital inpatient care to prevent anxiety.

Preoperative anxiety and associated factors among adult surgical patients in public hospitals, eastern Ethiopia

“…This might be a result of the significant impact that interpersonal connections have on reducing POA. POA was higher in those with weak social support than in people with strong social support, according to research from Addis Ababa, 39 which was consistent with the results of the current investigation. Social support can be associated with improved psychological readiness and decreased of fear of death.…”

“…In the bivariable logistic regression, participants' age, sex, marital status, educational status, proposed surgery, social support, types of surgical procedures, types of anesthesia, information provision, fear of death, fear of anesthesia, fear of physical disability, absence from work, information from a negative experience, and fear of unknown were associated with POA at a p-value <0.25. Finally, after checking for multi-collinearity and controlling for potential confounders, participants' age (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45), marital status, level of social support (strong and moderate), orthopedic surgery, and fear of death remained statistically significantly associated with POA at a p-value <0.05 in multivariable analysis (Table 4). Study participants between the age of 31-45 (AOR = 0.36; 95% CI = 0.17, 0.78) were 64% less likely to develop POA than participants between the age of 18-30.…”

The relationship between spiritual well‐being and surgical fear in elderly patients with gonarthrosis

“…26 Karabulut et al 16 also reported that the level of surgical fear in geriatric surgical patients who were married was lower than in those who were single. Additionally, Tesfaw et al 27 mentioned that preoperative anxiety levels were twice as high in single individuals compared to married ones. In contrast to our study, Çınar and Bülbülo glu 19 reported no statistically significant difference between the marital status of elderly patients and their levels of surgical fear.…”