Abebe Abera | Jimma University (original) (raw)

Papers by Abebe Abera

Background: Chronic heart failure is an important health problem associated with changes in sleep... more Background: Chronic heart failure is an important health problem associated with changes in sleep pattern and quality among patients with heart failure. Besides having negative effect on the patients' quality of life, it is one of the most disturbing problems. Poor sleep compromise cognition and one's self-care practice. Though factors affecting sleep among heart failure patients have been investigated in developed world this is not well understood in developing countries like Ethiopia. The aim of this study was therefore, to assess the level of sleep quality and associated factors among heart failure patients. Methods:-A cross-sectional study was conducted from October 1 to November 15, 2014 at Jimma University Specialized Hospital chronic illness follow up clinic. Data was collected by using standardized structured interviewer administrated questionnaires. Sleep quality was rated by participants using Pittsburg sleep quality scale. Convenient sampling technique was employed. Data analysis was done by SPSS windows version 20.0 statistical package. Statistical association was declared at p-value of <0.05 and results were presented using tables, figures and narratives. Result: A total of 278 patients participated in the study. On the Pittsburg sleep quality scale 42(15.1%) of the participants rated their perceived sleep quality as very bad with the mean score of 9.23 (SD = 4.05). Overall, 81.65% of participants had poor sleep quality. Patients who were farmers 166(59.7%) had poor sleep quality than others. Conclusion and recommendation: Majority of the study participants have poor sleep quality having Pittsburgh sleep quality scale score of greater than five whereas only few of them had good sleep quality. Therefore, Health education and symptom management should be focused in this population to improve their sleep quality. Background Chronic heart failure is important health problem causing high level of sleep disturbance and disorder. Poor sleep is among the most frequently reported symptoms of patients with heart failure. Sleep disordered breathing (SDB) is the common sleep disorder experienced by more than 50 to 80% patients with heart failure (1, 2). Factors that contribute to poor sleep in heart failure patients are multidimensional and may include demographic characteristics, pathophysiology of HF, comorbid health problems, symptoms of HF, medications, and primary sleep disorders (3). Mohammadi S. Z., et al reported the most frequent causes of sleep disturbances reported by patients were nocturia, followed by respiratory discomfort, pain and bad dreams (4). Multiple environmental factors and noises were also reported to disrupt sleep (5). The possible consequences of poor/inadequate sleep may include neurologic, respiratory, or cardiac complications; diabetes; depression; falls; accidents; impaired cognition; poor quality of life; prolonged hospital or intensive care unit (ICU) stay; excessive daytime sleepiness (EDS); disturbed mood; poor functional performance; self-care deficits and increased mortality (6, 7). It has also had a negative impact on the self-care capacity and self-care behaviours (8). A study conducted in Taiwan showed that participants as a whole had poor quality of sleep, short duration of night-time sleep, long sleep latency, frequent waking for urination, lack of sleep efficiency, and day time sleepiness. Sleep quality was positively associated with NYHA functional classification, number of hospitalizations, number of co-morbidities, number of medications currently being taken, and depression score (9). Studies conducted in Sao Polo Brazil and Qom City, north-central Iran revealed that the mean PSQI score of 8.70 and 13.24 respectively (3, 4). All of the participants of study in Iran had PSQI score >6.53% with mild daytime sleepiness. More than 2/3 rd of the participants were categorized as poor sleepers and 53.5% classified as good or very good sleepers, and 46.5% as poor or very poor sleepers. The mean duration of sleep was six hours. A nocturnal sleep of less than 5 hours was reported by 21% of participants. The mean sleep latency time was 42 minutes. Around 37% reported it took them up to 15 minutes to fall asleep, whereas in 22.8% it took over one hour. The mean habitual sleep efficiency was 72%. Age, education, female sex, unemployed, fatigue, smoking, income, body mass index, chronic obstructive pulmonary disease, medications, New York Heart Association functional classification, perceived health, Health Related Quality of Life (HRQoL) social functioning, and

Tropical Medicine and Health, 2021

BackgroundHealth literacy plays a prominent role in empowering individuals for prevention as well... more BackgroundHealth literacy plays a prominent role in empowering individuals for prevention as well as management of non-communicable diseases (NCDs). However, there is paucity of information on the health literacy of patients with non-communicable diseases in Ethiopia. Therefore, this study aimed to assess communicative health literacy and associated factors in patients with NCDs on follow-up at Jimma Medical Center (JMC), Ethiopia.MethodsA cross-sectional study was conducted from 4 May 2020 to 4 July 2020 with 408 randomly selected adult patients, attending outpatient department of JMC in Ethiopia. The final sample size was obtained by using single population proportion formula. All patients with NCDs who were on follow-up at chronic illness clinic, JMC, were used as a source population. All eligible patients with NCDs who fulfilled the inclusion criteria were included in this study. A simple random sampling technique was used to recruit study participants. Data were collected throu...

Background: Nurses performance remains long standing determinates of quality service rendered for... more Background: Nurses performance remains long standing determinates of quality service rendered for patients admitted to hospitals. However, there is paucity of information on nurses' performance level in study area. Therefore, the objective of the study was to assess factors affecting performance of nurses working at Jimma University Specialized Hospital.

Background: Ethiopia is one of the Sub-Saharan Africa countries highly affected by HIV epidemics.... more Background: Ethiopia is one of the Sub-Saharan Africa countries highly affected by HIV epidemics. Antiretroviral
therapy (ART) alters and reduces progression to AIDS and prolongs and improves the quality of life among HIV
infected population. For ART, at least 95% adherence is required to prevent the development of drug resistant viral
strains. Non-adherence to ART may result in regimen failure, immune suppression and emergence of resistant viral
strains, limited future treatment options, and higher treatment costs.
Objective: The aim of this study is to assess factors influencing ART adherence among PLWHA on ART
treatment in JUTH ART clinic.
Method: A cross-sectional study was conducted on a sample of 221 PLWHA who had follow-up at JUTH
ART clinic from February to March 2015. Data was collected through interview using structured questionnaire by
graduating nursing students. Data was cleared and checked for completeness and compiled on excel sheet for
analysis. Chi-square test was calculated at 5% level of significance to see the association between independent and
dependent variables and p-value of <0.05 was considered statistically significant. Finally the result was presented in
text statement, figure and tables.
Results: Of the total 221 participants more than half 153 (69%) were greater than 30 years, 144 (65.15%)
were females, 167 (75.56%) were urban dwellers, 169 (76.43%) were Oromo ethnic group. Overall from the study
participants 80 (36.19%) had poor adherence and 141 (63.8%) had good adherence to their ART treatment. Factors
like educational status, residence, occupation and alcohol addiction are significantly associated with the level of
adherence to ART treatment.
Conclusion and recommendation: Although the prevalence of HIV/AIDS is reducing adherence remains as
one of the challenges the control of HIV/AIDS where only around 2/3rd of PLWHA were well adhered to ART. Based
on the finding of this study, JUTH should counsel patients about advantage of taking ART drugs properly, risk of not
taking the medicines appropriately, the method how to remember the time of taking drugs and other factors that
influence ART adherence.

Background: TB continues to be a major public health problem in Ethiopia, which ranks seventh by ... more Background: TB continues to be a major public health problem in Ethiopia, which ranks seventh by estimated number of cases among the 22 TB high-burden countries. TB Treatment will only be effective if the patient completes the regimen which includes a combination of drugs recommended by the physicians. Incomplete treatment may result in prolonged excretion of bacteria which may lead to increased morbidity and mortality and spread of the disease. Objectives: to assess the trends of tuberculosis treatment outcomes at Mizan Aman General Hospital, Bench Maji Zone, Southwest Ethiopia, from September 2010 to August 2013. Methods: A retrospective study design was conducted at the TB clinic of Mizan general Hospital by analyzing the data of registered tuberculosis patients. The original case records were carefully reviewed, analyzed and interpreted to determine descriptive statistic such as frequencies and proportion of variables. The results of the study were presented using tables and line diagram. The study was approved ethically by Jimma University, college of public health and medical science, department of Nursing. Result: about 2043 TB patient record was retrieved in this study period from 2010-2013. Of these, 1207 (58.00%) were males and 874 (42.00%) were females. The magnitude of TB case during the study period were smoothly declined in the first four consecutive six months 382, 312, 212 and 116, respectively, whereas in the fifth six month the TB case dramatically increased to 547 however in the last phase reduces to 472. During the study period 362 (17.72 %) completed the treatment, 79 (3.87 %) cured, 4 (0.20%) defaulted, 1575 (76.99%) transferred out to other health facility, 25 (1.22%) were died but no one could failed the treatment regimen. Conclusion: The trends of overall TB diagnosed cases were reduced in the first two years but it increases in the third year. The treatment outcomes; high in transfer out and low in cure rate was observed. Thus, Behavioral change communication education emphasized on early detection and treatment of TB cases is important strategies to reduce TB burden.

Background: Leprosy is caused by bacteria mycobacterium leprae though very few believed this. In ... more Background: Leprosy is caused by bacteria mycobacterium leprae though very few believed this. In perception of community leprosy is disabling, incurable, hereditary disease, and associated with dirtiness, oozy and bad smelling wounds. Negative perceptions result in reduced quality of life for leprosy patients and hold back their access to health care services. In Ethiopia Leprosy was identified as major health problem since 1950 and it is still endemic in Oromia, Amhara and Southern Ethiopia.

Tropical Medicine and Health, 2021