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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905 EISSN: 1680-6905
Vol. 21, No. 3, 2021, pp. 1291-1300
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Bioline Code: hs21092
Full paper language: English
Document type: Study
Document available free of charge
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African Health Sciences, Vol. 21, No. 3, 2021, pp. 1291-1300
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Relationships of depression and anxiety to readmission rates among patients with diabetes from Harare and Parirenyatwa referral hospitals in Zimbabwe
Chopera, Prosper; Mbambo, Sineke Glorious & Matsungo, Tonderayi Matthew
Abstract
Background: The knowledge of determinants of readmission among individuals with diabetes minimises relapse and decreases
diabetes associated morbidity and mortality.
Objectives: To explore the prevalence of depression and anxiety as well as determinants of readmission in individuals with
diabetes from Harare, Zimbabwe.
Methods: A cross sectional study was carried out at Parirenyatwa and Harare group of hospitals. Participants were recruited
through purposive sampling and interviewed at the diabetic clinics. Depression and anxiety were measured using the Hospital
Anxiety and Depression Scale. Binary logistic regression was used to determine predictors of readmission.
Results: In total 65 participants took part, 36.9% were males. The mean age ±SD was 44.89±14.2 years. Anxiety affected
40% and 20% were at risk of anxiety, while depression was reported in 27.7% and 30.8% were at risk of depression. Depression
[OR=0.64, 95%CI: 0.42-0.97 (p=0.037)] and checking of blood glucose [OR=0.06, 95%CI: 0.01-0.71 (p=0.025)]
were significant negative predictors of readmission among diabetic patients while anxiety was a significant positive predictor
OR=1.55, 95%CI: 1.09-2.21 (p=0.015).
Conclusions: Mental health conditions in people living with diabetes are factors contributing to increased re admissions
and are more prevalent with aging. Psychotherapy and education interventions are recommended for the elderly diabetic
population.
Keywords
Diabetes; hospital readmission; anxiety; depression.
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© Copyright 2021 - Chopera P et al.
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