家庭心理社会参与 干预乌干达严重精神疾病的干预
Racheal Alinaitwe1, Musisi Seggane1, Andrew Turiho1
1Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
概括
家庭心理社会干预显著改善了乌干达严重精神疾病患者的生活质量和减少了症状. 这种低成本的方法提高了治疗的坚持,并支持家庭参与护理.
科学领域:
- 全球心理健康研究全球心理健康研究
- 心理社会干预措施 心理社会干预
- 严重精神疾病 (SMI) 治疗治疗
背景情况:
- 由于资源有限,低收入和中等收入国家在治疗严重精神疾病方面面临挑战.
- 家庭支持提供了一个潜在的有效和低成本的策略,以改善SMI护理中的患者结果.
- 整合家庭参与对于提高心理健康护理的可访问性和有效性至关重要.
研究的目的:
- 评估家庭心理社会参与干预 (FAPII) 对SMI患者的可行性和可接受性.
- 估计FAPII在改善患者结局方面的疗效.
- 探索文化敏感的家庭干预在资源有限的环境中的潜力.
主要方法:
- 在乌干达的两个地点 (马萨卡地区推医院和米蒂亚纳地区医院) 进行了一项受控的试点研究.
- 随机地将地点分配给干预或控制组.
- 每月一次FAPII会议为期六个月,涉及患者,家庭成员和心理健康专业人员,在基线,6个月和12个月评估结果.
主要成果:
- 与6个月和12个月的对照组相比,干预组观察到生活质量 (QoL) 的显著改善 (p=0.001).
- 在6个月和12个月的干预组中,SMI症状显著减少 (p < 0.001).
- 与对照组相比,FAPII在6个月和12个月 (分别为p=0.035和p<0.001) 显示出明显更好的治疗坚持.
结论:
- 家庭心理社会参与干预在改善生活质量,药物坚持以及减少SMI患者的症状和耻辱感方面是有效的.
- 该研究支持在乌干达背景下将家庭参与到SMI护理中.
- 在以家庭为中心的精神卫生保健中,建议采用FAPII采用的文化敏感心理治疗.
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