试点"从内到外" - - 一个解决结核病相关自我耻辱的工具包.
Stephen H-F Macdonald1,2, Nadine Ferris France3,4, Ian Hodgson3
1School of Medicine, University of Limerick, Limerick, V94 T9PX, Ireland. macdonaldez@gmail.com.
这项研究试行了一套心理社会工具来打击结核病 (TB) 自我耻辱,显示了参与者对知识和福祉的初步改善. 需要进行进一步的研究,以优化对持续影响的干预交付.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 患者的自我耻辱导致治疗坚持不良和社会退缩.
- 针对结核病自我污名化的现有干预措施有限.
- 自我耻辱不仅影响患者,还影响他们的家人和医疗保健提供者.
研究的目的:
- 试行一种心理社会干预工具包,以解决结核病患者的自我耻辱问题.
- 评估培训员培训方法的可行性和初始影响,以提供工具包.
- 在印尼雅加达适应文化和语言适当性的工具包.
主要方法:
- 在雅加达,与非政府组织工作人员一起进行了一场培训员工研讨会.
- 经过培训的员工通过为期4天的参与性研讨会向22名结核病患者/幸存者提供了心理社会工具包.
- 干预措施的有效性是通过自我报告的知识变化,有效性,自我同情和心理福祉来评估的.
主要成果:
- 参与者在干预后立即报告了有关结核病自我耻辱的知识和疗效的显著增加.
- 自我同情和与他人的积极关系在研讨会后显著增加,但在3个月后没有持续.
- 培训员培训模式促进了当地适应和干预的交付.
结论:
- 试点工具包显示了改善结核病患者知识,疗效和心理健康的潜力.
- 需要进一步调查以确定持续益处的最佳输送方法 (频率,剂量,持续时间).
- 持续的支持对于个人在整个结核病治疗过程中至关重要.
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