Background:
Tuberculosis and lower limb fracture diagnosis and rehabilitation can affect
the psychological well-being of a patient. Psychological conditions can affect
the patient's general well-being and make it more difficult to relieve physical
symptoms. Psychological symptoms indicate self-esteem and the extent of
psychological distress among individuals. Objectives: The purpose of this study
is to evaluate and compare emotional health and self-esteem in tuberculosis and
fracture patients admitted to chest units at the Enugu State University
Teaching Hospital, University of Nigeria Teaching Hospital, and Enugu National
Orthopaedic Hospital, Nigeria. Methods: The research population consisted of
126 patients undergoing care at Direct Reported Treatment Short Course (DOTS)
clinics with pulmonary tuberculosis and 126 patients with emergency and
out-of-patient lower limb fracture. The sociodemographic characteristics of the
respondents were analysed using a socio-demographic interview schedule. Symptom
Checklist-90 was used to measure the degree of psychological symptoms in both
respondents and was used to evaluate self-esteem in the Self-Esteem Index.
Results: In the tuberculosis group (25.4 percent), the incidence of mental
conditions was substantially higher than in the orthopaedic group (7.6
percent). Depression , anxiety, and paranoid ideation and interpersonal
sensitivity were among the psychological symptoms experienced (SCL-90).
Compared to fractures, low self-esteem was more prevalent among tuberculosis
patients. In this analysis, psychological distress levels were higher in
tuberculosis patients relative to fracture patients (p<0.001). Tuberculosis
diagnosis can lead to a host of patient anxiety and concerns. The strength of
emotional responses can be much higher for a stigma-ridden disease like
tuberculosis. We also found that patients with tuberculosis who were younger
were significantly related to poorer mental wellbeing and that low self-esteem
was more prevalent among tuberculosis participants relative to those with
fracture (P<0.0001).
Author(s) Details
Andrew Orovwigho
Department
of Psychiatry, Federal Neuropsychiatric Hospital, Enugu, Nigeria.
Emmanuel Olose
Department
of Psychiatry, University of Calabar, Nigeria.
Richard Uwakwe
Department of Psychiatry, Nnamdi Azikiwe University, Awka, Nigeria.
Donald Chukwujekwu
Department
of Psychiatry, University of Port Harcourt, Nigeria.
Chinyere Aguocha
Department of Psychiatry, Imo State University, Orlu, Nigeria.
Monday Igwe
Department of Psychiatry, Ebonyi State University, Abakaliki, Nigeria.
View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/313