在结核病服务中整合抑郁症护理:巴基斯坦的可行性评估
Saima Afaq1,2, Aliya Ayub2, Mehreen Riaz Faisal1
1Department of Health Sciences, University of York, York, UK.
概括
结核病患者中抑郁症很常见,因此需要综合心理健康支持. 巴基斯坦共同设计的护理途径显示出可行性和可接受性,突出了对同情护理和可访问服务的需求.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 传染性疾病 传染性疾病
背景情况:
- 同时出现的抑郁症显著恶化结核病 (TB) 治疗结果,导致长时间住院和增加医疗费用.
- 治疗结核病患者的抑郁症对于改善患者的福祉和治疗疗效至关重要.
研究的目的:
- 评估在巴基斯坦结核病服务中集成的共同设计的抑郁症护理途径的可行性和可接受性.
- 确定将心理健康护理纳入常规结核病服务中的障碍和促进因素.
主要方法:
- 一项混合方法研究,涉及巴基斯坦佩沙瓦的初级,中级和三级护理机构对结核病患者的常规抑郁查.
- 连续采样包括191名成年结核病患者,他们在2021年11月至2022年2月期间接受了抑郁症查.
- 通过与包括患者,护理人员和卫生专业人员在内的各种利益相关者进行反思会议来收集定性数据.
主要成果:
- 大约35%的查结核病患者的抑郁症检测呈阳性,这表明精神健康问题的负担很高.
- 综合抑郁症护理被发现是可以接受的,患者提供者沟通和同情心态是关键因素.
- 耻辱感,后勤挑战和成本被认为是障碍,而共同的服务和提供商同情心则充当了促进者.
结论:
- 在结核病患者中,有很大需要心理健康支持.
- 综合性结核病抑郁症护理途径是可行的和可以接受的,这取决于诸如同位服务和提供者培训等因素.
- 需要进一步的研究来评估这些综合系统的有效性和可扩展性,以改善健康结果.
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