埃塞俄比亚德布雷伯汉的精神病医疗护理途径:一个横截面研究
Kaleab Berhanu1, Abayneh Birlie2, Tizibt Fiseha1
1School of Nursing and Midwifery, Asrat Woldeyes Health Sciences College, Debre Berhan University, Debre Berhan, Ethiopia.
PloS one
|July 24, 2025
概括
埃塞俄比亚大多数患有精神障碍的人首先寻求传统医生的帮助,推迟了正式的精神病治疗. 诸如年龄,性别,教育,职业和诊断等因素会影响这些间接的护理途径.
科学领域:
- 心理健康研究 心理健康研究
- 全球精神病学全球精神病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护理途径描述了患者在正式精神病医疗服务之前的旅程.
- 在发展中国家,患有精神障碍 (PWMD) 的人通常首先咨询传统或宗教治疗师,可能会推迟治疗.
- 虽然这种趋势在埃塞俄比亚被注意到,但影响间接护理途径的因素需要进一步调查.
研究的目的:
- 确定PWMD使用的精神病治疗途径.
- 确定与精神病治疗的间接途径相关的因素.
- 研究的重点是PWMD在埃塞俄比亚的Debre Berhan综合专门医院接受治疗.
主要方法:
- 利用世界卫生组织通往精神病医疗护理的途径.
- 招募了446名患有精神障碍的人.
- 进行多变量二元物流回归以确定与间接路径相关的因素.
主要成果:
- 显著的大多数 (72.9%) PWMD 通过间接途径获得护理.
- 年龄较大,女性性别,小学教育,农业职业和家庭规模较大与间接途径有关.
- 双极性障碍,焦虑,感知耻辱感和遇到寻求帮助的问题也与间接途径有关.
结论:
- 弹武器主要使用间接途径作为他们对心理健康问题的初始联系点.
- 人口和临床因素显著影响使用间接护理途径.
- 调查结果表明,整合精神病学服务和改进转诊系统可以减少治疗延迟.
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