社区卫生工作者对精神疾病的经验和看法:印度尼西亚的一项多设置横截面研究
Marthoenis Marthoenis1, Rizki Fitryasari2, Martina Martina1
1Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia.
The International journal of social psychiatry
|April 29, 2024
概括
社区卫生工作者报告在识别精神疾病方面提高了技能和信心. 然而,一些人认为,精神疾病与宗教因素或替代疗法有关,这凸显了对文化敏感的心理健康策略的需要.
科学领域:
- 社区健康 社区健康
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 社区卫生工作者 (CHW) 对精神疾病的经验和看法对于有效的干预设计至关重要.
- 了解CHW的观点对于减少耻辱和改善心理健康服务获取至关重要.
- 医疗保健中心在促进社区参与心理健康倡议方面发挥着关键作用.
研究的目的:
- 调查社区卫生工作者 (CHW) 的经验.
- 检查CHW对精神疾病的看法.
- 了解影响CHW对心理健康观点的因素.
主要方法:
- 一项涉及487名社区卫生工作者的多场合横截面研究.
- 使用问卷来评估一般的,与宗教有关的心理疾病的感知,原因,治疗和预期.
- 收集关于CHW体验和对心理健康的态度的数据.
主要成果:
- 医疗保健工作者报告说,他们有了更好的沟通 (90.4%),更强的员工联系 (84.8%),更强的自信 (84.6%),以及更好地识别精神障碍迹象 (77%).
- 很大一部分的精神疾病与宗教因素 (19.5%缺乏崇拜) 或超自然原因 (3.5%的巫术) 有关.
- 一些医疗保健工作者赞成Ruqyah (14.2%) 或宗教学者 (6.4%) 等替代疗法,少数人 (6.4%) 认为治疗是不必要的.
结论:
- 医疗保健工作者重视自己的角色,报告了重要的专业和个人发展.
- 该研究强调了职业角色,社区纽带和文化信仰在心理健康感知中的复杂相互作用.
- 调查结果强调了需要文化敏感的方法来进行心理健康干预,由CHWs.
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