在患有分离性疾病的患者中,获得护理的途径和治疗障碍
Pooja Shakya1, Mamta Sood1, Rahul Mathur1
1Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Asian journal of psychiatry
|March 20, 2024
概括
分离性障碍患者经常推迟寻求精神病治疗,最初咨询全科医生或信仰治疗师. 像耻辱和缺乏意识这样的障碍延长了治疗的延迟,突出了需要提高意识和获得心理健康护理的需要.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 分离性障碍出现具有挑战性的症状,往往导致识别和治疗延迟.
- 延迟寻求治疗增加了自我伤害,功能障碍和生活质量下降的风险.
- 了解寻求治疗的障碍对于开发有效的干预措施至关重要.
研究的目的:
- 调查护理途径,并确定分离性障碍患者治疗障碍.
- 根据患者最初的治疗选择,分析患者的社会临床概况.
主要方法:
- 一项涉及133名从三级医院招募的离散性障碍患者的横截面研究.
- 半结构面试被用来评估护理和治疗障碍的途径.
- 疾病严重程度和功能影响使用分离体验量表和世卫组织残疾评估表2.0 (WHODAS 2.0) 进行了测量.
主要成果:
- 最初的寻求帮助主要涉及全科医生/神经科医生 (40.6%) 和传统信仰治疗师 (35.3%),精神病医生是后来的选择.
- 寻求传统医生的患者首先具有较低的教育程度,更长的未经治疗的疾病持续时间,以及更高的症状严重程度和残疾分数.
- 超过70%的患者遇到障碍,包括可用性问题,耻辱感,缺乏意识和外部影响.
结论:
- 分离性障碍患者在精神病医生之前咨询各种提供者,面临重大治疗障碍.
- 需要采取干预措施,提高人们对分离性障碍的认识,减少治疗开始的延迟.
- 解决耻辱和改善对心理健康服务的准入对于及时有效的管理至关重要.
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