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An Investigation of Nurses’ Role in Managing Anxiety and Depression in Patients with Chronic Illnesses in Sokoto State Hospitals

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Background of the Study: Chronic illnesses, such as diabetes, hypertension, and cardiovascular diseases, affect a significant portion of the population in Nigeria, and they often have a profound impact on mental health. Patients with chronic illnesses are at a higher risk of developing anxiety and depression due to the long-term nature of their conditions, the limitations on their daily lives, and the financial and emotional burden of managing their illnesses (Adebowale et al., 2023). Anxiety and depression among chronic illness patients can worsen their physical health outcomes, impair medication adherence, and reduce their overall quality of life (Onuoha et al., 2024).

Nurses play a critical role in managing anxiety and depression in patients with chronic illnesses, as they are often the primary healthcare providers who establish continuous relationships with patients. Through therapeutic communication, mental health assessments, and collaboration with other healthcare professionals, nurses can help alleviate symptoms of anxiety and depression (Akinmoladun et al., 2024). However, there is limited research specifically focusing on the role of nurses in managing mental health issues in patients with chronic illnesses in Sokoto State hospitals. This study aims to investigate the role of nurses in managing anxiety and depression in this context.

Statement of the Problem: Patients with chronic illnesses in Sokoto State hospitals often experience mental health issues such as anxiety and depression, which complicate their treatment and recovery. Despite the importance of mental health in chronic disease management, nurses may not be fully trained or equipped to address these issues. There is a need to investigate the extent to which nurses in Sokoto State hospitals are involved in managing anxiety and depression among chronic illness patients, as well as the challenges they face in providing adequate care.

Objectives of the Study:

  1. To assess the role of nurses in managing anxiety and depression in patients with chronic illnesses in Sokoto State hospitals.
  2. To identify the challenges nurses face in managing mental health issues in chronic illness patients.
  3. To evaluate the effectiveness of nurse-led interventions in reducing anxiety and depression in chronic illness patients.

Research Questions:

  1. What role do nurses play in managing anxiety and depression in patients with chronic illnesses in Sokoto State hospitals?
  2. What challenges do nurses face when managing mental health issues in chronic illness patients?
  3. How effective are nurse-led interventions in alleviating anxiety and depression in patients with chronic illnesses in Sokoto State hospitals?

Research Hypotheses:

  1. Nurses who are trained in mental health care are more effective in managing anxiety and depression in patients with chronic illnesses.
  2. Nurse-led interventions significantly reduce symptoms of anxiety and depression in chronic illness patients in Sokoto State hospitals.
  3. Nurses face significant challenges such as inadequate training and insufficient resources in managing anxiety and depression in patients with chronic illnesses.

Scope and Limitations of the Study: This study will focus on nurses working in Sokoto State hospitals, particularly those caring for patients with chronic illnesses. The findings may not be applicable to other regions of Nigeria, as healthcare systems and mental health approaches may differ. Limitations include potential biases in self-reported data and the variability in nursing practices across different hospitals.

Definitions of Terms:

  • Anxiety and Depression: Common mental health conditions that involve feelings of worry, fear, sadness, and hopelessness, often exacerbated by the challenges of managing chronic illnesses.
  • Chronic Illnesses: Long-term health conditions such as diabetes, hypertension, and heart disease, which require ongoing medical management and often lead to psychological distress.
  • Nurse-Led Interventions: Actions or programs initiated and implemented by nurses, such as counseling, medication management, and mental health assessments, aimed at improving patient well-being.




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