印度尼西亚精神分裂症家庭干预的利益相关者观点:一种定性研究
Herni Susanti1, Helen Brooks2, Budi-Anna Keliat1
1Faculty of Nursing, Universitas Indonesia, Kota Depok, Indonesia.
BMC psychiatry
|January 23, 2024
概括
这项研究探讨了印度尼西亚精神分裂症患者的家庭干预需求. 调查结果显示了强有力的支持,但强调了诸如耻辱和对有效的,用户知情的护理的不同期望等挑战.
科学领域:
- 全球心理健康全球心理健康
- 精神病学干预研究研究精神病学干预研究
- 低收入和中等收入国家 (LMIC) 卫生系统
背景情况:
- 精神疾病对全球经济构成重大负担,不成比例地影响着低至低收入国家.
- 对精神分裂症的基于证据的心理社会干预在LMICs中很少.
- 涉及服务用户和护理人员对于干预设计和实施至关重要.
研究的目的:
- 探索利益相关者对印尼精神分裂症家庭干预交付,格式和内容的观点.
- 为制定可接受的,基于证据的家庭干预措施提供信息.
- 解决LMIC受精神分裂症影响的家庭结构化心理社会支持的差距.
主要方法:
- 使用单个利益相关者的重点小组进行定性研究.
- 参与者包括印度尼西亚的服务用户 (n=15),护理人员 (n=15) 和医疗保健专业人员 (n=21).
- 数据分析采用了带有演和归纳编码的框架方法.
主要成果:
- 服务用户和护理人员以前对结构化家庭干预的经验有限.
- 对家庭干预存在强烈支持,但挑战包括耻辱,低的共同决策期望和感知到的医疗保健专业权威.
- 在服务用户和家庭之间平衡冲突的治疗议程是关键考虑因素.
结论:
- 这些发现支持在印度尼西亚开发文化敏感,基于证据的精神分裂症家庭干预措施.
- 用户知情的干预设计对于提高参与度,满意度和坚持度至关重要.
- 解决耻辱和促进共享决策对于成功实施至关重要.
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