dc.contributor.author | Ndambuki, Rosemary M | |
dc.date.accessioned | 2013-05-23T08:09:44Z | |
dc.date.available | 2013-05-23T08:09:44Z | |
dc.date.issued | 2009 | |
dc.identifier.citation | Master Of Science In Clinical Psychology | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24670 | |
dc.description.abstract | Of particular concern to those with obstetric fistula is the prevalence of
depression and the social-demographic characteristics related to this
condition.
This was a descriptive study carried out over a period of ten months
from August 2008 to may 2009 .The study assessed some socialdemographic
characteristics associated with obstetric fistula and the
prevalence of depression in patients with obstetric fistula attending the
obstetric fistula clinic in Kenyatta National Hospital and Jamaa
Hospital ..
Objectives:
The study sought to asses the socio-demographic factors associated with
obstetric fistula and the prevalence of depression in these patients.
Methodology
A total of 72 patients were recruited in the study between august 2008
and may 2009.
Their psychosocial data was collected , a depression scale(8eck
ciepression inventory) was administered. The data was entered usmq
statistical package for social science (SPSS), and analysis was done.
Results were presented in figures and a table.
RESULTS
Results showed that 62% experienced depression.
About half (46.5%) of the patients were between 19 and 29 years
46.5% had onset of fistula at between 19 and 29 years of age. Most
(78.7%) of the patients had onset of fistula while getting the first,
second and third child. 67% of the patients had primary education.46%
had onset of fistula while in district hospital. Above half (67%) were
unemployed .64% were still married .54% had stillbirths. 36.8% had
incontinence of urine for six years and above. The prevalence of
depression in women with obstetric fistula was 62%.There is correlation
between depression and duration of incontinence of urine
XI
CONCLUSION
The study concludes that women with obstetric fistula have high
prevalence of depression. Greater attention therefore needs to be paid
to not only their medical surgical management but also psychiatric /
psychological management.
RECOMMENDATIONS
The researcher recommends that counseling and psychological
assistance be a major part of the treatment and should continue after
the surgical intervention to enable the patient to recover. Family therapy
for the spouses and relatives should be provided. Psycho-education on
fistula should be part of obstetric care so that potential patients seek
medical intervention without delay. Further study is needed to establish
the prevalence of fistulae and other psychosocial complications in the
general population.
XII | en |
dc.language.iso | en | en |
dc.publisher | University Of Nairobi | en |
dc.title | The prevalence of depression in women with obstetric Fistula at kenyatta national hospital and jamaa hospital Nairobi, kenya | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | College of Health Sciences | en |