用健康信念模型深入研究使用物质使用障碍患者接受治疗影响的因素:一种定性研究
Sarah Hazem Muslim1, Ali Azeez Al-Jumaili2, Hadeer Akram Al-Ani3
1Al-Kindy Teaching Hospital, Ministry of Health, Baghdad, Iraq.
BMC psychology
|February 28, 2025
概括
伊拉克的药物滥用治疗接受度受到感知到的好处,社会支持和进入障碍的影响. 解决这些因素,如缺乏意识和对法律问题的恐惧,是改善恢复结果的关键.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 药物滥用是伊拉克日益严重的公共卫生问题,由经济挑战和高失业率加剧.
- 了解伊拉克物质使用障碍 (SUD) 患者接受治疗的情况至关重要,但人们对其了解甚少.
研究的目的:
- 探索影响伊拉克SUD患者接受治疗的因素.
- 应用健康信念模型来了解患者的动机和障碍.
主要方法:
- 使用面对面,半结构面试的定性研究,对33名被诊断为SUD的患者进行半结构面试.
- 来自巴格达两个专门治疗中心的方便采样.
- 对面试数据进行主题分析,以确定关键主题和子主题.
主要成果:
- 大多数参与者受教育程度有限,收入低的工人; 91%的人滥用甲基胺.
- 患者表现出良好的治疗坚持,受感知好处 (健康,家庭),行动提示 (社会,法律),主观规范 (家庭支持) 和促进条件 (隐私,免费治疗) 的影响.
- 障碍包括缺乏意识,对法律后果的恐惧和心理因素;由于药物可获得性,人们注意到高复发易感性.
结论:
- 健康信念模型有效地解释了治疗的接受,与感知到的好处,严重程度,社会规范,和线索行动驱动坚持.
- 解决缺乏意识和法律恐惧等障碍,同时加强促进因素,对于提高治疗接受度至关重要.
- 建议包括开展宣传活动,提供便利设施,建立更多的治疗中心,以支持康复和明智选择.
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