一项定性研究,以了解在初级保健中对移民和难民的PTSD治疗障碍

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Nuha Alshabani^1,2, Kathryn Price³, Helena Kennedy^4,5

¹Chobanian & Avedisian School of Medicine, Boston University, Boston, United States. nuha.alshabani@bmc.org.

Journal of immigrant and minority health

|August 5, 2025

概括

在初级保健中对移民和难民 (IR) 进行创伤后应激障碍 (PTSD) 治疗的障碍包括提供者培训缺口和健康的社会决定因素. 解决这些问题需要为提供者和患者提供多层次干预.

科学领域:

公共卫生公共卫生
心理健康服务研究心理健康服务研究
移民和难民健康移民和难民健康

背景情况:

对移民和难民 (IR) 的文化响应和可访问的创伤后应激障碍 (PTSD) 治疗在初级保健中至关重要.
识别阻碍创伤后应激障碍治疗在IR患者的初级护理环境中的整合障碍,对于改善护理至关重要.
初级保健机构越来越多地被认为是解决不同人口心理健康需求的关键点.

研究的目的:

在初级保健机构内对移民和难民 (IR) 进行需求评估,确定创伤后应激障碍 (PTSD) 治疗的障碍.
了解跨专业工作人员,提供者和住院医生的观点,以了解IR患者的PTSD治疗.
为制定有针对性的干预措施提供信息,以提高IR人群对PTSD治疗的可访问性.

主要方法:

与15名跨专业人员和提供者进行了定性访谈,包括医生,行为健康临床医生,病例经理和护士从业人员.
两个焦点小组与为移民和难民患者服务的住院医生举行了讨论.
用定性数据的专题分析来确定关键障碍和主题.

主要成果:

确定的主要障碍包括提供者在提供创伤信息化护理方面的重大培训缺口.
心理健康素养问题,围绕心理健康的耻辱,以及健康的不良社会决定因素 (粮食不安全,住房,经济稳定,交通) 阻碍了获得治疗的机会.
在初级保健机构内缺乏系统的PTSD查协议是一个经常被引用的障碍.

结论:

需要进行多层次干预,以减少移民和难民 (IR) 的PTSD治疗障碍.
专注于提供者的干预措施应包括培训文化响应,创伤知情的方法.
以患者为中心的干预措施必须解决耻辱,创伤和健康的社会决定因素的交叉点,以改善结果.

关键词:

移民和难民的移民和难民需要评估需要评估.创伤后应激障碍的治疗方法主要护理基本护理

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