Assessment of Low Patient Social Support and its Associated Factors among Hospitalized Medical-Surgical Adult in Patients in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia, 2020. Multicenter Cross-Sectional Study

Abstract

Shegaw Tesfa, Haimanot Abebe, Bitew Tefera, Baye Tsegaye, Agere Ayinalem, Betelhem Tadesse, Temene Fetene, Fisha Alebel, Tadesse Tsehay , Bogale Chekole, Shegaw Geze, Mamo Solomon

Background: Research is focused on cardiovascular disease (CVD). CVD is the leading cause of death in the Background: Patient social support is a network or web of social relationships that each individual keeps including the closest people, such as family, close friends, and other neighborhood or community individuals in the hospital as well as out of the hospital. Patient psychosocial support influences the health status and treatment effectiveness, enhancing the quality of care in a hospitalized medical-surgical inpatient setting. Therefore, it should be practiced in a hospital setting than a community setting.

Methods: Institutional based cross-sectional study was conducted with 380 study subjects from March 1-30, 2020. A systematic random sampling technique was used and data were collected using interviewer-administered questionnaires. Trained nursing students collected data, which were entered into Epi-data 3.1 and exported to SPSS version 26 for analysis, and then binary and multiple logistic regression was performed to check the association between dependent and independent variables.

Results: In this study, the low level of patient social support was 61.9%, while 38.1% of them have high levels of patient social support. Variables being housewives [AOR=3.41; 95%CI (1.145-10.153)], chat chewing [AOR=2.596; 95%CI (1.072-6.288)], psychosocial counseling [AOR=4.149; 95 %CI (0.075-0.771) and previous history of hospitalization [AOR=1.673; 95%CI (1.019-2.746) were found to be significantly associated with low patient social support. While age, sex, ethnicity, religion, income, alcohol drinking, smoking, other illegal substance use, family history of mental health problems, having a mental illness, type of case, and length of hospital stay were not significantly associated.

Conclusions: The overall level of patient social support in hospitalized patients was low and being housewives, khat chewing, psychosocial counseling, and previous history of hospitalization were significantly associated with low levels of patient social support among adult inpatients, therefore health care providers should provide special consideration to those group of patients admitted to hospitals.

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