BackgroundPsychological discomfort is a state of emotional distress caused by everyday stressors and obligations that are difficult to manage. It's one of the most common mental health problems on the planet. The physical status of a person has an impact on his or her psychological well-being, and if not handled well, it will eventually have an impact on his or her well-being. Orthopedic trauma has a wide range of effects on survivors' physical health, as well as a variety of mental health concerns that impede recovery. Psychiatric problems and behavioral abnormalities are 3–5 times more common in people who have been harmed, and they are a predictor of poor outcomes. It is crucial to begin further therapies as soon as possible.MethodsA cross-sectional study was undertaken at Dilla University Referral Hospital on an institutional basis. The data was collected via a face-to-face interview and the Kessler psychological distress scale (K-10) was used to assess psychological distress. A total of 366 people were chosen using simple random selection. SPSS21 was used to enter and evaluate the data. To find related factors, bivariate and multivariate logistic regressions were used. Variables having a p-value of less than 0.05 were deemed statistically significant.ResultOut of all respondents, 114 (31.4%) of the individuals have experienced psychological anguish. Independent variables such as being female (adjusted odds ratio (AOR = 5.8, 95 percent CI (3.5–11.1), being under 27 years old (AOR = 2.34, 95 percent CI (1.89–3.68), being unable to read and write educational status, married (adjusted odds ratio (AOR = 2.67(1.24–5.34), poor social support (AOR = 1.4, 95 percent CI (1.21–2.89), and poor sleep quality (AOR = 1.5, 95 percent).ConclusionThe prevalence of psychological distress was high. Being female, having poor social support, and having a high PSQI score were significantly associated factors with psychological distress. It is good if clinicians emphasize orthopedic patients especially females and those having poor social support and low sleep quality symptoms.

Background Delirium is a severe neuropsychiatric condition that occurs frequently in all medical settings. It has been associated to serious consequences like higher mortality, institutionalization, and longer hospital stays. Delirium is missed in emergency rooms in 57% to 83% of patients, despite its frequent incidence and detrimental repercussions. Objectives The purpose of this study was to determine the prevalence and contributing causes of delirium in patients who visited the emergency room at Jimma Medical Center in Jimma, southwest Ethiopia, in 2022. Methods From August 1 through September 30, 2022, a cross-sectional study was undertaken at a hospital. The study enrolled 422 participants, who were chosen through a systematic random sampling. The Richmond Agitation Sedation Scale (RASS) was used to evaluate different subtypes of delirium and level of arousal. The Confusion Assessment Method (CAM) was used to determine the presence or absence of delirium. Epi Data V3.1 was used to enter the data, and Version 20 of the Statistical Package for Social Scientists was used to export it (SPSS V20). Bivariate and multivariable logistic regressions were performed to identify the related factors. Variables with a p-value of less than 0.05 were considered to be significant. Result 26.6% of participants (n = 107) were found to have delirium. Alcohol use (AOR = 3.6, 95% CI (2.5–8.1), visual impairment (AOR = 2.34, 95% CI (1.89–3.68), frequent admission (AOR = 3.47, 95% CI (1.24–7.34), bladder catheterization (AOR = 1.4, 95% CI (1.21–2.89), and benzodiazepine exposure (AOR = 1.5, 95% CI (1.01–2.3) had a significant association with delirium. Conclusion According to this study, delirium was very common among patients in the emergency room. Benzodiazepine exposure, numerous admissions, visual impairment, current alcohol consumption, bladder catheterization, and frequent admissions all significantly increased the risk of delirium. To address identifiable causes and enhance patients’ health outcomes, early recognition is crucial.

Background: Delirium is a complex neuropsychiatric syndrome commonly encountered across all healthcare settings. It is associated with adverse outcomes including more prolonged hospitalization, institutionalization and increased mortality. In contrast to its frequent occurrence and negative consequences, delirium is missed by emergency physicians (EPs) in 57% to 83% of cases. Furthermore despite to its clinical importance, there is little documentation regarding delirium prevalence and physician detection rates within the emergency setting.Objectives: This study aimed to assess magnitude and associated factors of delirium among patients attending emergency department at Jimma medical center, Jimma, southwest Ethiopia, 2022.Methods: A hospital based cross-sectional study was conducted from August 1st up to September 30, 2022. 422 study participants were enrolled who were selected by systematic random sampling. The presence or absence of delirium was assessed by using Confusion Assessment Method (CAM) and Richmond Agitation Sedation Scale (RASS) was employed to assess distinct subtypes of delirium and level of arousal. The data was entered using Epi Data V3.1 and exported to Statistical Package for Social Scientists Version 20(SPSS V20). To find associated factors, bivariate and multivariable logistic regressions were used. Variables having a p-value of less than 0.05 were deemed statistically significant.Result: The prevalence of delirium was found to be 26.6%(n=107), current use of alcohol (AOR=3.6, 95 percent CI (2.5-8.1), visual impairment (AOR=2.34, 95 percent CI (1.89-3.68), frequent admission (AOR=3.47(1.24-7.34), bladder catheterization (AOR=1.4, 95 percent CI (1.21-2.89), 15.993), and benzodiazepine exposure (AOR=1.5, 95 percent CI (1.01-2.3) had significant association with delirium.Conclusion: This study shows the prevalence of delirium was high among patients in emergency ward. Current use of alcohol, visual impairment, frequent admission, bladder catheterization, and benzodiazepine exposure had significant association with delirium. Early recognition is important to correct identifiable cause and improve health outcome of patients.

Background Mental health literacy includes the ability to recognize the signs of mental disorders, understand their origins and risk factors, have a positive attitude about mental health, and have access to both professional help and mental health information. In developing country, mental illness is not treated in hospitals due to lack awareness about mental health, despite there is a shortage of studies conducted about mental health literacy. Therefore, this study aimed to assess the prevalence of mental health literacy and associated factors among residents living in Dilla Town, Gedeo Zone, South-Ethiopia 2022. Methods A community based cross sectional study design was employed from June to July 2022 G.C among 422 residents living in Dilla town and used a systematic random sampling to select households. Interviewer administered structured questionnaire was used to collect the data and analyzed using a logistic regression analysis model. A 35 item mental health literacy scale was used to assess the outcome variable. Result According to the study's findings, 35.1% of participants had good mental health literacy. Being educated, having strong social support, not smoking and not consuming alcohol had significant and positive association with mental health literacy [AOR (95% C.I, 1.183 (1.009, 1.386)], [AOR (95% C.I, 1.748 (1.618, 4.904)], [AOR (95% C.I, 1.684 (1.564, 6.831)], [AOR (95% C.I, 1.491(1.364, 3.664)] respectively. Conclusion This study revealed that only one third of the respondents had good mental health literacy. Those respondents with good psychosocial profile had better awareness and attitude about mental illness. As a result, there is a need of collaborate work with stakeholders to enhance the mental health awareness. Moreover, it is better to have a population-level intervention programs aimed to increase the literacy about mental health.

Background: Psychological discomfort is a state of emotional distress caused by everyday stressors and obligations that are difficult to manage. It’s one of the most common mental health problems on the planet. The physical status of a person has an impact on his or her psychological well-being, and if not handled well, it will eventually have an impact on his or her well-being. Orthopedic trauma has a wide range of effects on survivors’ physical health, as well as a variety of mental health concerns that impede recovery. Psychiatric problems and behavioral abnormalities are 3-5 times more common in people who have been harmed, and they are a predictor of poor outcomes. It is crucial to begin further therapies as soon as possible.