Prevalence and associated factorsof anxiety among patients with chronic non-communicable diseases on follow up at jimma medical center, jimma, southwest Ethiopia

Abstract

Background: Anxiety is a common condition in any chronic disease. Anxiety symptoms may affect the patients’ ability to control their condition, their quality of life, and their overall health levels.Despite this fact,limited research studies have been conductedin Ethiopia to address anxiety among patients with chronic diseases. Objective: To assessthe prevalence of anxiety and associated factors among patients with chronic non-communicable diseases on follow up at Jimma Medical Center, Jimma, Southwest Ethiopia;2020. Methods:An institutional-based cross-sectional study was conducted in Jimma Medical Centerfrom May11th to July 8th, 2020.A total of 411patients with chronic non-communicable diseases were included through a systematic sampling technique. Anxiety was assessed using Hospital Anxiety and Depression Scale, which is validated in Ethiopia.Data were collected using a pre-tested based structured questionnaire through face to face interview which was prepared originally in English and translated to Afan Oromo and Amharic language for data collection purposes. After data collection, the data were cleaned and presented with text, graphys and tables. Two data collectors and one supervisor were collect data after one-day intensive training.The collected data were entered into Epi-data and transported into statistical package for social science version 25 and bivariate was done to evaluate the relationship between single independent vs dependent variable those variable p-values<0.25 candidate for multivariate. In multivariate p<0.05 declared as statistical significance. Result:The study revealed that the prevalence of anxiety was 29.9%. Being female(AOR=2.38, 95%CI(1.61-5.52), presence of co-morbid illness(AOR=4.2, 95%CI (2.18-8.06)), perceived illness not control.(AOR=5.43, 95%CI (2.75-10.7) and physical inactivity(AOR=2.83, 95%CI(1.56-5.13)) had a statistically significant association with anxiety with p-value <0.005 Conclusion and Recommendation: Prevalence of anxiety was high. Being female, perception that illness uncontrolled,presence of co-morbid illness, and physical inactivity were associated with anxiety. Health care professional should provide advice to patients about the importance of physical activities to prevent anxiety and patients with comorbidy illness and female patient should be screened for anxiety.