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基于COM-B模型的精神分裂症寻求帮助行为的阻碍和促进因素的分析:一种描述性的定性研究
Rui Ma1, Yu Wang2, Xiao-Qing Wang1
1Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China.
BMC psychiatry
|October 22, 2023
概括
能力,机会和动机的障碍阻碍了寻求精神分裂症治疗的行为. 了解这些因素对于改善精神分裂症患者获得心理健康服务的关键.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 健康心理学 心理健康心理学
背景情况:
- 有效的精神分裂症治疗依赖于及时的专业干预.
- 全球精神卫生服务利用率较低和寻求帮助的行为是重大挑战.
研究的目的:
- 探索障碍物和促进因素影响精神分裂症诊断的个体寻求医疗帮助的行为.
- 确定影响精神分裂症及时诊断和治疗启动的因素.
主要方法:
- 对13名被诊断患有精神分裂症的参与者进行了深入的半结构面试.
- 来自精神病院的有目的采样;采访记录,转录和分析使用NVivo 12.0.0.
主要成果:
- 确定了影响寻求帮助的三个主要主题:能力 (知识,洞察力,识字能力),机会 (信息获取,工作与生活平衡,资源获取,社会支持) 和动机 (意识,过去的经验,自我价值).
- 详细的子主题揭示了每个类别内的特定障碍,例如心理健康素养不足和获得医疗资源的挑战.
结论:
- 在精神分裂症中寻求医疗帮助的行为是障碍物和促进者的复杂相互作用.
- 基于行为变化轮 (BCW) 框架的干预措施可以解决已识别的障碍,以减少诊断和治疗的延迟.
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