Follow-up conditions of care and associated factors among adult hypertensive patients during COVID-19 at West Arsi public health facilities, Southeastern Ethiopia: A multi-center cross-sectional study

Hiko, Ahmed; Assefa, Nega; Ataro, Zerihun; Sertsu, Addisu; Yadeta, Elias; Balcha, Teganu; Amano, Abdulkerim; Asfaw, Henock; Dechasa, Deribe Bekele; Nigussie, Kabtamu; Abdisa, Lemesa

doi:10.3389/fpubh.2022.1018686

Cited by 2 publications

(15 citation statements)

References 43 publications

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“…Negative emotions in psychological factors were among the important issues disrupting the continuity of care for patient with chronic disease. According to the studies of Hiko et al, 22 Moges et al, 23 and Bellini et al, 36 fear, dissatisfaction, stigma, and anxiety were among the factors that had a negative impact on the management of patients with chronic disease during Covid‐19 26 . A study showed quarantine caused depression and anxiety in the elderly 43 .…”

Section: Discussionmentioning

confidence: 99%

“…Age was another cause of disruption in the continuity of care in individual and social factors. Old age decreased continuity of care among patients with chronic disease 22–25,36 . A study showed the elderly missed a follow‐up appointment with a doctor 23 .…”

Section: Discussionmentioning

confidence: 99%

“…Negative emotions in psychological factors were among the important issues disrupting the continuity of care for patient with chronic disease. According to the studies of Hiko et al, 22 Moges et al, 23 and Bellini et al, 36 fear, dissatisfaction, stigma, and anxiety were among T A B L E 2 Factors disrupting the continuity of care among chronic patients in pandemic.…”

Section: Patient-side Factorsmentioning

confidence: 99%

“…Patient-side factors Individual and social factors Age [22][23][24][25] Comorbidity [10,22] Insufficient knowledge [26][27][28] Disease-related factors Severity of chronic disease [23,29] The duration of the disease [24,30] Family history of the disease [25] psychological factors Negative emotions [22,23,26,[28][29][30][31][32][33][34][35] Medical and family support [26,29,35] Health system-side factors…”

Section: Main Categories Subcategories Sub-sub Categories Referencesmentioning

confidence: 99%

“…Provider access Problems Reducing access to medical and para clinical care [10,[27][28][29][30][31][35][36][37][38][39][40] Infrastructural problems Disruption of public transportation [22,23,30,31] Physical distancing [22,31,39] health system Institutional problems Lack of non-communicable disease management guidelines [41] Changing the type of care [41] Infodemics and the lack of reliable health information [41] Lack of supply [10,26,27,31] Financial problems Decrease in income [25,42] the factors that had a negative impact on the management of patients with chronic disease during Covid-19. 26 A study showed quarantine caused depression and anxiety in the elderly.…”

Section: Main Categories Subcategories Sub-sub Categories Referencesmentioning

confidence: 99%

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Factors disrupting the continuity of care for patients with chronic disease during the pandemics: A systematic review

Ghanbari‐Jahromi,

Kharazmi,

Bastani

et al. 2024

Health Science Reports

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Background and AimsContinuous routine care is necessary to prevent long‐term complications of chronic diseases and improve patients' health conditions. This review study was conducted to determine the factors disrupting continuity of care for patients with chronic diseases during the pandemic.MethodsAll original articles published on factors disrupting continuity of care for patients with chronic disease during a pandemic between December 2019 and June 28, 2023, in PubMed, Web of Science, Scopus, and ProQuest databases were searched. Selection of articles, data extraction, and qualitative evaluation of articles (through STROBE and COREQ checklist) were done by two researchers separately. Data graphing form was used to extract the data of each study and then the data were classified by thematic analysis method.ResultsOut of 1708 articles reviewed from the databases, 22 were included. The factors disrupting the continuity of care for patients with chronic diseases during the epidemics were classified into two main categories: patient‐side factors and health system‐side factors. Patient‐side factors including psychological, individual and social, disease‐related, and health system‐side factors including provider access, health system institutional, and infrastructural and financial problems were among the subcategories disrupting the continuity of care for patients with chronic diseases during the pandemic. Based on the studies, psychological factors and access to the provider were among the most frequent factors affecting the continuity of care for patients with chronic diseases in the pandemic.ConclusionConsidering the factors disrupting the continuity of care and applying appropriate interventions based on them, can guarantee the continuity of providing services to chronic patients in health crises.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Negative emotions in psychological factors were among the important issues disrupting the continuity of care for patient with chronic disease. According to the studies of Hiko et al, 22 Moges et al, 23 and Bellini et al, 36 fear, dissatisfaction, stigma, and anxiety were among T A B L E 2 Factors disrupting the continuity of care among chronic patients in pandemic.…”

Section: Patient-side Factorsmentioning

confidence: 99%

Section: Main Categories Subcategories Sub-sub Categories Referencesmentioning

confidence: 99%

Section: Main Categories Subcategories Sub-sub Categories Referencesmentioning

confidence: 99%

See 3 more Smart Citations

Factors disrupting the continuity of care for patients with chronic disease during the pandemics: A systematic review

Ghanbari‐Jahromi,

Kharazmi,

Bastani

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

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The impact of COVID-19 on non-communicable disease patients in sub-Saharan African countries: A systematic review

Basa,

De Vries,

McDonagh

et al. 2024

PLoS ONE

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Background COVID-19 and its prevention measures have had a significant impact on patients with non-communicable diseases (NCDs) by disrupting routine healthcare service and increasing risk factors. These challenges were expected to be more severe in sub-Saharan Africa due to the lack of physical infrastructure and inadequate resources. The quantity of studies conducted was limited, and there was a lack of published systematic reviews in the specified region. This systematic review aimed to assess the indirect impacts of the COVID-19 pandemic and associated lockdown measures on individuals with non-communicable diseases (NCDs) in sub-Saharan African countries. Method This systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines and is registered with PROSPERO (ID CRD42023387755). Extensive searches were conducted in MEDLINE, EMBASE, and CINAHL databases in December 2023, supplemented by a manual search of references, grey literature, and the WHO COVID-19 database. Inclusion criteria encompassed studies that reported on the impact of COVID-19 on NCD patients in sub-Saharan African countries, focusing on access to care, health outcomes, and factors related to NCDs. Critical appraisal of study quality was performed using the Joanna Briggs Institute (JBI) analytical cross-sectional studies critical appraisal tool. Data were extracted and synthesized, highlighting the main findings and relevant limitations. Findings This review included 30 primary studies with a cumulative sample size of 25634 participants, conducted in seven sub-Saharan African countries. These studies demonstrated that the COVID-19 pandemic significantly disrupted regular NCD patient care provision, with regional variations. The studies also identified a reduction in patient health-seeking behavior and reduced medication adherence, leading to poor treatment outcome. Furthermore, the pandemic and related lockdowns have been implicated in the increased prevalence of substance use, decreased physical exercise, and increased mental health problems. Conclusion This systematic review identified the complex challenges faced by NCD patients in sub-Saharan Africa during the COVID-19 pandemic. It also underlines the need to consider the indirect impact on vulnerable populations while developing pandemic prevention and control strategies for the future. The current NCD management strategies should prioritize the restoration of access to essential healthcare services while considering the multifaceted risks posed by decreased physical activity, poor dietary practices, and increased substance use. The main limitation of this review was the study design and setting. All of the studies included in this review employed a cross-sectional design, which may result in a low quality of evidence. This study identified research conducted in only seven countries among the 46 UN-classified sub-Saharan nations, which may impair the generalizability of the result.

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Follow-up conditions of care and associated factors among adult hypertensive patients during COVID-19 at West Arsi public health facilities, Southeastern Ethiopia: A multi-center cross-sectional study

Cited by 2 publications

References 43 publications

Factors disrupting the continuity of care for patients with chronic disease during the pandemics: A systematic review

Factors disrupting the continuity of care for patients with chronic disease during the pandemics: A systematic review

The impact of COVID-19 on non-communicable disease patients in sub-Saharan African countries: A systematic review

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