通过改善服务和参与 (PROMISE) 协议在马拉维的精神病康复导向
Stephen Lawrie1, Charlotte Hanlon2,3, Lucinda Manda-Taylor4
1Division of Psychiatry, University of Edinburgh, Edinburgh, United Kingdom.
PloS one
|November 30, 2023
概括
这项研究旨在通过与有实践经验的人共同设计基于社区的检测和管理系统,以改善马拉维的精神病治疗. 目标是减少未经治疗的精神病的持续时间,并提高患者的幸福感.
科学领域:
- 全球心理健康全球心理健康
- 精神病研究 精神病研究
- 加强卫生系统 加强卫生系统
背景情况:
- 马拉维在管理严重精神疾病方面面临重大挑战,原因是资源有限,未经治疗的精神病 (DUP) 的平均持续时间约为六年.
- 精神病在很大程度上没有被发现和治疗,影响着相当一部分人口的健康和生活.
- 现有的心理健康服务集中在三级机构,对初级保健机构的接触有限.
研究的目的:
- 在马拉维开发可接受和可持续的精神病检测和管理系统.
- 通过社区参与,提高精神病意识,减少未经治疗的精神病 (DUP) 的持续时间.
- 改善精神病患者及其照顾者的整体健康,福祉和生活质量.
主要方法:
- 利用英国医学研究理事会的指导方针来开发和评估复杂的干预措施.
- 采用定性研究来探索精神病护理的不同观点.
- 实施与有生活经验的人 (PWLE) 和护理人员的共同设计原则,以变革理论为指导.
主要成果:
- 为精神病护理制定管理蓝图,包括教育和社区支持.
- 建立一个综合护理途径,涉及初级卫生中心诊所和地区心理健康团队.
- 计划在三个地区进行近乎实验性的连续实施,以评估干预的有效性.
结论:
- 社区参与和共同设计对于开发有效和可持续的心理健康干预措施至关重要.
- 拟议的综合护理途径有可能显著减少DUP,并改善精神病患者的治疗结果.
- 对实施,结果和成本效益的强有力的评估对于卫生部长期采用至关重要.
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