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Prevalence Of Depression And Associated Factors Among Patients Attending Orthopeadic Outpatient Clinics At Hospitals Of Wolaita, Southern Ethiopia.

Article scientifique 2022 Anglais

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Abstract Background: Psychiatric disorders and behavioral disturbances are reported to be three to five times more common among people with injuries. Depressive disorders are the common reported psychiatric problem among trauma survivors. The aim was to assess the magnitude of depression and associated factors among orthopedic trauma patients attending Wolaita Sodo town hospitals.Methods: A facility-based cross-sectional study was conducted with 359 systematic randomly sampled orthopedic patients. A structured questionnaire was used for data collection. The data were analyzed using SPSS version 20. The bivariate analysis was done and all explanatory variables which have an association with the outcome variable at p-value <0.25 were selected for multivariable analysis. Variables that were statistically significant at P-value <0.05 were declared using an adjusted odds ratio with a 95% confidence interval. Result: A total of 352 orthopedic patients were responded which makes a 98% response rate. More than half, 193(54.8%) of respondents were male. Overall depression among respondents was 36.4% with 95% CI [31.4, 41.4]. Pain (AOR 4.42; 95%CI [1.49, 13.1]), complication (AOR 5.6 [95% CI 3.02, 10.38]), amputation (AOR 3.2 (95% CI [1.64, 6.1]) and multiple site injury (AOR 2.6 [95% CI 1.005, 6.64]) had statistically significant association with depression.Conclusion and Recommendation: - Depressive disorders are a common phenomenon among orthopedic patients. Having pain, having complications, being amputated, and having multiple site injuries were predictors of depression. Clinicians working at orthopedic clinics emphasize patients' psychological state during the evaluation, especially for amputated patients, and those having multiple site injuries, develop a complication, patients who undergo amputation, and those patients with severe pain.

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Minda, A., Workie, S., Leka, C., Worku, D. (2022). Prevalence Of Depression And Associated Factors Among Patients Attending Orthopeadic Outpatient Clinics At Hospitals Of Wolaita, Southern Ethiopia.. https://doi.org/10.21203/rs.3.rs-1380510/v1

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