了解刚果民主共和国城市心理健康护理服务组合:一种定性描述性研究
Erick Mukala Mayoyo1,2,3,4,5, Bart Criel6, Abdoulaye Sow7
1School of Public Health, University of Lubumbashi, Lubumbashi, DR, Congo. erickmukala1@gmail.com.
刚果民主共和国的精神卫生保健是分散的,传统的治疗师和家庭护理人员领导服务. 改善精神卫生工作者 (MHW) 的协作和任务定义对于更好的患者结果至关重要.
科学领域:
- 全球健康 全球健康
- 心理健康服务研究 心理健康服务研究
- 加强卫生系统 加强卫生系统
背景情况:
- 精神卫生工作者 (MHWs) 由于在低收入环境中不清楚的角色,每天都面临能力冲突.
- 刚果民主共和国 (刚果民主共和国) 的心理健康服务的组织和协调不太清楚.
- 这项研究解决了在刚果民主共和国城市中确定现有心理健康护理服务组合的需要.
研究的目的:
- 确定刚果民主共和国 (DRC) 城市精神卫生服务的当前组合.
- 探索精神卫生保健提供者的任务和组织.
- 了解不同级别的护理之间的协调和协作.
主要方法:
- 一项定性描述性研究于2021年2月至4月在刚果民主共和国卢本巴希进行.
- 数据是通过7个重点小组讨论 (FGD) 与74个关键信息提供者和13个深度访谈 (IDI) 收集的.
- 使用分析框架进行了定性内容分析,以映射 MHW,其任务和服务组织.
主要成果:
- 传统治疗师和家庭护理人员是卢布姆巴希的主要心理健康护理提供者.
- 识别的服务包括非正式的,传统的治疗,社会,初级保健和精神病医疗服务,显示出一个反转的服务组合.
- 心理健康专家不承认初级保健提供者和非正式照顾者的贡献,这表明缺乏合作.
结论:
- 这项研究揭示了心理健康服务的组合不足,精神卫生工作者之间缺乏合作.
- 迫切需要定义 MHW 角色,培养非专业人员的能力,并促进协作护理模式.
- 任务转移和提高意识对于改善刚果民主共和国的心理健康服务提供至关重要.
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