Pathway of care among psychiatric patients attending a mental health institution in central India.
Pathway of care among psychiatric patients attending a mental health institution in central India.
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DOI：
10.4103/0019-5545.74308
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发表时间：
2010-10-01
影响因子：
3.1
通讯作者：
Mishra, Ashok
中科院分区：
文献类型：
--
作者：
Lahariya, Chandrakant;Singhal, Shyam;Mishra, Ashok
简介：只有有限比例的精神疾病患者去医疗机构就诊，而且当病情变得严重时也是如此。由不合格的医生和信仰治疗师进行治疗是一种常见的做法，其原因是延误了适当的治疗。 材料和方法：进行了一项横断面研究，以了解精神病患者采取的护理途径及其与研究人群中社会人口决定因素的关系。受试者选自城市专科精神病医院，并使用预先测试的半结构化访谈时间表进行访谈。使用SPSS v10.0软件对数据进行分析。根据需要使用卡方检验、T 检验和 Kruskall Wallis 检验。 结果：本研究共纳入 295 名患者（203 名男性）。大多数患者（45%）患有双相情感障碍（45%），其次是精神分裂症（36%）。其中 203 名患者（68%）来自农村地区，其中 94 名患者是文盲。接受治疗的平均距离为 249 公里。其中大多数（69%）首先联系了信仰治疗师，只有 9.2% 的患者首先联系的是合格的精神科医生。 结论：由于对治疗服务缺乏认识、距离遥远以及担心与治疗相关的耻辱，很大一部分精神病患者没有去任何医疗机构就诊。精神病患者在前往精神病医疗机构之前首先寻求各种来源的帮助。在准备心理健康计划时，需要牢记这些患者所采取的途径。
INTRODUCTION: Only a limited proportion of patients with psychiatric disorders attend the healthcare facilities, and that too when the condition becomes severe. Treatment from unqualified medical practitioners and faith healers is a common practice, and is attributable to the delay in proper treatment.MATERIALS AND METHODS: A cross-sectional study was conducted to understand the pathway of care adopted by psychiatric patients and its relationship with the socio-demographic determinants in the study population. The subjects were selected from urban specialty psychiatric hospitals and interviewed using a pre-tested, semi-structured interview schedule. The data was analyzed using SPSS v10.0 software. The Chi square test, T test, and Kruskall Wallis Test were used, as needed.RESULTS: A total of 295 patients (203 males) were included in this study. The majority of the patients (45%) were suffering from Bipolar affective disorders (45%), followed by schizophrenia (36%). The majority, 203 (68%), were from the rural area, with 94 patients being illiterate. The mean distance traveled for treatment was 249 km. The majority of these (69%) had first contacted faith healers and a qualified psychiatrist was the first contacted person for only 9.2% of the patients.CONCLUSION: A large proportion of psychiatric patients do not attend any health facility due to a lack of awareness about treatment services, the distance, and due to the fear of the stigma associated with treatment. The psychiatric patients first seek the help of various sources prior to attending a psychiatric health facility. The pathway adopted by these patients need to be kept in mind at the time of preparation of the mental health program.