Knowledge and attitude toward geriatric nursing care and associated factors among nurses working at hospitals in Hawassa City, Ethiopia, 2022.

Background: Globally, the fastest growth in the number of older people combined with chronic and age-related medical conditions experienced by the older adult placed great demand on geriatric care. Thus, nurses are required to be knowledgeable and have a desirable attitude toward geriatric nursing care. Therefore, this study aimed to assess knowledge and attitude toward geriatric nursing care and associated factors among nurses working at hospitals in Hawassa City, Ethiopia. Methods: Hospital-based cross-sectional study was conducted from June 30 to July 30, 2022, among 365 nurses. The hospitals and study participants were selected by using purposive and simple random sampling methods, respectively. Data were collected using self-administered questionnaires. Descriptive statistics were computed to generate descriptive results. Binary and multivariable logistic regressions were used to identify predictors at p-value <0.05. Results: About 39.2% of nurses had good knowledge and 49.3% of the nurses showed a positive attitude toward geriatric nursing care. Nurses with BSc degree or above [AOR 2.5, 95% CI, (1.2-5.6)], having lived with older people [AOR 2.2, 95% CI, (1.4-3.6)], nurses with 6-10 years [AOR, 2.8, 95% CI, (1.4-5.57)] and >10 years of work experience [AOR 4.2, 95% CI, (1.6-10.8)] were more likely to have knowledge about geriatric nursing care. Having BSc degree or above [AOR 2.7, 95% C.I, (1.2-6)], 6-10 years [AOR 3, 95% CI, (1.48-6.3)], and >10 years [AOR 3.9, 95% CI, (1.4-10.99)] of work experience, living experience with older people [AOR 1.7, 95% C.I:1.05-2.7], knowledge about geriatric care [AOR 3, 95% CI,(1.85-4.92)], and having worked at adequate space [AOR 1.7, 95% CI: 1.009-2.8] increased odds of good attitude toward geriatric nursing care. Conclusion: Less than half of nurses demonstrated good knowledge and positive attitude toward geriatric nursing care. Higher level of education, higher work experience, living with older people were significantly associated with knowledge and attitude toward geriatric nursing care. Additionally, working in an adequate space and having knowledge about geriatric care positively influenced attitude toward geriatric nursing care. Therefore, nursing schools and hospitals should conduct training and consider incorporating more content about geriatric care into nursing education to enhance nurses' knowledge and attitude.

Depression and Its Predictors among Diabetes Mellitus Patients Attending Treatment in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia.

BACKGROUND: Patients with diabetes mellitus are at twice the risk of developing depression than the general population. The coexistence of diabetes and depression largely contributes to increased morbidity and mortality and results in high healthcare cost. OBJECTIVE: The aim is to assess severity of depression and its determinants in diabetes outpatients at Hawassa University Comprehensive Specialized Referral Hospital, southern Ethiopia. METHODS: An institutional-based cross-sectional study was done using a systematic sampling method. To assess the magnitude of depression, the patient health questionnaire-9 scale was used. Then, the data were entered into EpiData version 3.1 and exported to SPSS version 20 software. Binary logistic regression was used to assess the association between dependent variable and independent variables. RESULTS: The magnitudes of depression were found to be 41.5%. The potential predictors were adhering to alcohol intake (adjusted odds ratio, AOR = 3.71, 95% CI: 1.52, 9.06), loss of someone very close or spouse (AOR = 6.83, 95% CI 3.07, 15.19), having no social support (AOR = 3.68, 95% CI: 1.63, 8.29), not adhering to the recommended dietary regimen (AOR = 6.83, 95% CI 3.07, 15.19), not adhering to physical activity (AOR = 4.1, 95% CI: 1.86,9.014), not adhering to medication (AOR = 4.2, 95% CI: 1.7, 10.31), and not having raised blood pressure of 140/90 mmHg and above (AOR = 7.42, 95% CI: 3.40, 16.17). CONCLUSION: Depression was a common comorbidity associated with diabetes occurring in more than four in ten of the participants.

Magnitude and Associated Factors of Depression Among Hypertensive Patients Attending Treatment Follow Up in Chronic OPD at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia.

BACKGROUND: Hypertension and depression are among the most common public health issues affecting the population around the world. Like patients with other chronic medical conditions, hypertensive patients experience many intense emotions which increase their risk for the development of depression. Globally, depression is the leading cause of disability and 382 million people suffer worldwide. OBJECTIVE: The aim of this study was to assess the magnitude and factors associated with depression among hypertensive patients attending treatment follow up in the chronic OPD at Hawassa University Comprehensive Specialized Hospital (HUCSH) from March to May, 2019. METHODS: An institutional-based cross-sectional study was conducted with 310 hypertensive patients attending treatment follow up at the chronic Out-Patient Department of HUCSH at Hawassa from March to May, 2019. A validated patient health questionnaire (PHQ-9) was used to assess depression. The data were entered using EPI-data version 3.1 and analyzed in SPSS version 22. Binary logistic regression was used to determine the association of independent variables with dependent variables. RESULTS: The magnitude of depression among hypertension (HPN) patients was found to be 73 (24.7%). The independent predictors were sex 2.6 (1.16, 5.83), age 11.2 (2.98, 42), educational status, social support 2.55 (1.09, 5.94), family history of depression 7.12 (1.48, 34.26), hypertension 7.57 (2.67, 21.44), and medication adherence 11.6 (4.23, 31.78). CONCLUSION: The magnitude of depression among HPN patients was high. So, continuous health information dissemination at a different level regarding factors affecting them should be given. Strengthening a referral linkage with a psychiatric unit for psycho-behavioral therapy will bring good clinical outcome. Besides, controlling hypertension was crucial to bring good clinical outcome.

Magnitude and associated factors of diabetic complication among diabetic patients attending Gurage zone hospitals, South West Ethiopia.

OBJECTIVE: To assess the magnitude of diabetic complication and associated factors among diabetes mellitus patients attending in Gurage zone hospitals. RESULTS: According to this study the magnitude of diabetic complication among diabetic patients were 61% and the marital status; divorced [AOR: 0.252 (0.11, 0.59); p = 0.002], poor glycemic control [AOR: 1.88 (1.04, 3.39); p = 0.036], body mass index > 25 [AOR: 4.42 (1.32, 14.86); p = 0.016] and duration of illness > 6 years [AOR :1.79 (1.02, 3.17); p = 0.044] and 10 years [AOR: 4.68 (2.07, 10.61); p = < 0.001] were significantly associated with diabetic complication.

Factors Associated With Alcohol Use Disorder Among People Living With HIV/AIDS Attending Art Clinic, Mizan Tep University Teaching Hospital, South West Ethiopia.

INTRODUCTION: Alcohol use is a major public health concern in global settings. It is very common among people living with HIV/AIDS, leading to physical and mental complications. OBJECTIVE: To assess the magnitude of alcohol use and factors among HIV/AIDS positive adults visiting ART clinic at Mizan Tep University Teaching Hospital (MTUTH), Southern Ethiopia from October 2017 to December 2017. METHODS: A facility based cross-sectional study was conducted with a sample of 332 HIV positive adults who came to ART clinic at MTUTH using systemic random sampling technique. Data were entered into EPidata 3.1 version and then analyzed by SPSS version 20. Binary logistic regressions have been used to identify the association between an independent variable with the dependent variable. RESULT: A total of 332 participants were enrolled in the study with the prevalence of alcohol use disorder (AUD) of 18.4%. Factors associated with alcohol use disorder were sex AOR=3.48 (95% CI: 1.27, 9.59), cigarette smoking AOR=5.12 (95% CI: 4.02, 8.61), "khat" chewing AOR=3.23 (95% CI: 2.06.6.89), and CD4 count of 0-200 AOR = 19.49 (95% CI: 1.74, 218.4). CONCLUSION: The prevalence of alcohol use disorder was high. It is independently associated with male patients, cigarette/tobacco smokers, khat chewers, and low CD4 count.