Wynaden Dianne, Chapman Rose, Orb Angelica, McGowan Sunita, Zeeman Zenith, Yeak SiewHo
School of Nursing and Midwifery, Curtin University of Technology, Perth, Australia.
Int J Ment Health Nurs. 2005 Jun;14(2):88-95. doi: 10.1111/j.1440-0979.2005.00364.x.
This paper presents the findings of a qualitative study to identify factors that influence Asian communities' access to mental health care and how mental health care is delivered to them. Semistructured interviews were completed with Asian community members/leaders and health-care professionals. Content analysis identified major themes. Participants also completed a demographic data sheet. The research aimed to provide health professionals with an increased understanding of the values and beliefs held by people from Asian communities regarding the cause and treatment of mental illness. Data analysis identified six main themes that influenced Asian communities' access to mental health care and how mental health care is delivered to them. They were: shame and stigma; causes of mental illness; family reputation; hiding up; seeking help; and lack of collaboration. The findings highlighted that people from Asian communities are unwilling to access help from mainstream services because of their beliefs, and that stigma and shame are key factors that influence this reluctance. The findings also highlight that the mental health needs of refugee women are significant, and that they comprise a vulnerable group within Australian society.
本文介绍了一项定性研究的结果,该研究旨在确定影响亚洲社区获得心理健康护理的因素,以及心理健康护理是如何提供给他们的。对亚洲社区成员/领袖和医疗保健专业人员进行了半结构化访谈。内容分析确定了主要主题。参与者还填写了一份人口数据表。该研究旨在让卫生专业人员更好地理解亚洲社区的人们对精神疾病的病因和治疗所持的价值观和信念。数据分析确定了六个影响亚洲社区获得心理健康护理以及护理如何提供给他们的主要主题。它们是:羞耻感和污名化;精神疾病的病因;家庭声誉;隐瞒;寻求帮助;以及缺乏合作。研究结果突出表明,由于他们的信念,亚洲社区的人们不愿意从主流服务中寻求帮助,而且污名化和羞耻感是影响这种不情愿的关键因素。研究结果还突出表明,难民妇女的心理健康需求很大,并且她们在澳大利亚社会中构成了一个弱势群体。