COVID-19-related anxiety and knowledge toward its preventive measures among patients with chronic medical illness on follow-up in public hospitals of Bale, East Bale, and West Arsi zones, Ethiopia

Abstract

Background: Coronavirus disease 2019, also known as 2019-nCoV cluster of acute respiratory illness with unknown causes, which occurred in Wuhan, Hubei Province, in China, was first reported to World Health Organization country office as of December 30, 2019. People with medical illness are at a higher risk for coronavirus disease, and the pandemic influences mental health and causes psychological problems, particularly in those with chronic medical illness. Hence, this study aimed to assess coronavirus disease 2019-related anxiety and the knowledge on its preventive measures among patients with medical illness on follow-up in public hospitals of Bale, East Bale, and Arsi zones Objective: To assess coronavirus disease 2019-related anxiety and knowledge toward coronavirus disease 2019 preventive measures among patients with chronic medical illness on follow-up in public hospitals of Bale, East Bale, and West Arsi zones. Methods: A hospital-based cross-sectional study was conducted in selected hospitals of Bale and West Arsi zones, Southeast Ethiopia. A total of 633 study participants were included in this study, and data were collected through an interviewer-administered questionnaire. A descriptive summary was computed. Bivariable and multivariable logistic regression analyses were carried out to identify the associated factors. Results: Overall, the prevalence of anxiety among chronic patients in this study was 6.3% (95% confidence interval: 4.6%–8.5%) and 420 (66.35%) had good knowledge on the preventive measures of coronavirus disease 2019. Factors significantly associated with anxiety among chronic patients were being educated (95% confidence interval: adjusted odds ratio = 0.26 (0.09–0.74)), being male (95% confidence interval: 2.69 (1.11–6.53)), and use of mask (95% confidence interval: 0.11 (0.05–0.26)). Conclusion: The prevalence of coronavirus disease 2019-related anxiety among chronic patients was high and being males, uneducated, and not using face mask was significantly associated with coronavirus disease 2019-related anxiety.

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

“…In addition, this study identified that lower education levels and lower income show a significant association with the problem. Furthermore, a study conducted in Brazil demonstrated that 65.1% of individuals reported an increase in unhealthy food intake and a decrease in the intake of fruits and vegetables among hypertensive patients [53] Moreover, the pandemic is also resulting in an increased prevalence of stress, anxiety, depression, and other mental health issues [13,15,16,38]. These findings are consistent with other studies conducted on the topic in different parts of the world [6,51].…”

“…Among this, 14 studies focused on chronic disease patients, five focused on diabetes, three focused on hypertension, two focused on diseases and/ or hypertension, one focused on cancer, and one focused on cardiovascular disease. The review findings were organized into five frequently reported themes and subthemes: these are 1) disruption of follow-up care and poor health care utilization reported by 11 studies [10,11, 23,24,25,26,27,28,29,30,31]; 2) increased anxiety, stress, depression, and increased mental health problems reported by eight studies [15,32, 34,35,37,38,39,43]; 3) substance use reported by four studies [36,37,41,44]; 4) decreased physical activity and sedentary life reported by three studies [33,36,44]; and 5) increased food insecurity and poor dietary habits due to COVID-19 among NCDs patients, reported in five studies [36,40,42,43,44] Studies included in this review did not focus on the same subject matter. Some studies focused on one theme and others focus on more than two themes; for instance, (Andualem et al, 2020) examined adherence to lifestyle modifications and reported on diet, exercise, smoking, and alcohol, whereas (Abate et al, 2022) examined adherence to physical exercise recommendations and reported only on exercise compliance.…”

“…Another important impact of the COVID-19 pandemic was identified in seven studies that reported a negative impact of pandemic on the mental health and psychological well-being of noncommunicable disease patients [15,32,34,35,37,38,39,43]. Increased stress and anxiety can be a result of fear of contracting the virus, disruptions in healthcare services, social isolation, and economic hardships.…”

Systematic review and meta‐analysis of knowledge, attitudes, and practices regarding COVID‐19 among chronic disease patients: A global perspective

“…Following this phase, a comprehensive review of the full-text articles was conducted, excluding 186 studies from further consideration. A total of 23 studies, including 21 studies for knowledge, 10,12,13,15,[17][18][19][20][21][22][23][26][27][28][29][30][31][32][33][34][35] 12 studies for attitudes, 10,12,14,15,[19][20][21]23,29,30,34,35 and 12 studies for practice 10,12,[18][19][20][21]23,[29][30][31]35 were included in the meta-analysis (Figure 1).…”

Pandemi Sürecinde Hemodiyaliz Tedavisi Alan Hastaların Yaşadıkları Anksiyete İle Covid-19’un Kontrolü Algısı Arasındaki İlişki

“…Yapılan çalışmalar sonucunda, Covid-19 salgını kronik hastalıklara sahip bireylerde anksiyete artışına neden olmuştur. [24][25][26][27][28] 37 çalışmanın incelendiği bir meta analiz çalışmasında pandemi döneminde bireylerin Covid-19 ile ilişkili anksiyete seviyelerinde önemli derecede artış olduğu belirlenmiştir. 29 Yine Türkiye'de Çıtak ve Pakdemir (2020)' in pandemi döneminde yaptıkları çalışmada araştırmaya katılan katılımcıların büyük oranda (%40) kaygı seviyelerinin normal sınırların üzerinde olduğu belirlenmiştir.…”