探讨在第一发精神病中获得心理健康服务的障碍:来自东尼泊尔的横截面研究
Suren Limbu1, Araniko Pandey2, Suraj Nepal1
1Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Industrial psychiatry journal
|November 3, 2025
概括
精神病患者获得心理健康护理的障碍,特别是对传统治疗的偏好,延迟护理. 解决这些态度障碍对于及时干预和改善第一发精神病的结果至关重要.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 对精神病患者来说,获得心理健康服务是一个重大挑战,导致治疗延迟.
- 在特定的国家背景下,对这些障碍的研究有限.
- 识别障碍对于制定有效的管理和干预策略至关重要.
研究的目的:
- 调查第一发精神病 (FEP) 患者获得心理健康护理的障碍.
- 检查这些障碍与临床/人口因素之间的关系.
- 评估与未经治疗的精神病 (DUP) 持续时间的关联.
主要方法:
- 在尼泊尔东部进行了一项横截面的描述性研究.
- 86名FEP患者使用尼泊尔版本的护理评估障碍 (BACE) 进行评估.
- 诊断基于ICD-10标准,并使用诺丁汉开始时间表-DUP版本 (NOS-DUP) 测量DUP.
主要成果:
- 态度障碍,如对传统/宗教治疗的偏好,是最普遍的.
- 失业,核家庭结构和潜伏性精神病发作与障碍的增加有关.
- DUP与态度障碍 (r=0.606),仪器障碍 (r=0.476) 和总BACE得分 (r=0.632) 有显著的相关性.
结论:
- 必须认识到患者对替代治疗方法的偏好,并将其纳入护理途径.
- 需要多维策略,以促进FEP患者获得标准心理健康护理.
- 解决已识别的障碍可以帮助减少未经治疗的精神病的持续时间,并改善患者的治疗结果.
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