Ebrahimi Hossein, Namdar Hossein, Vahidi Maryam
Department of Psychiatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2012 Nov;17(7):534-8.
Stigma is one of the obstacles in the treatment and regaining the mental health of people with mental illness. The aim was determination of mental illness stigma among nurses in psychiatric wards. This study was conducted in psychiatric wards of teaching hospitals in Tabriz, Urmia, and Ardabil in the north-west of Iran.
This research is a descriptive analysis study in which 80 nurses participated. A researcher-made questionnaire was used, which measured demographic characteristics and mental illness stigma in the three components of cognitive, emotional, and behavioral. All data were analyzed using SPSS13 software and descriptive and analytical statistics.
Majority of nurses (72.5%) had medium level of stigma toward people with mental illness. About half of them (48.8%) had great inclination toward the social isolation of patients. The majority of them (62.5%) had positive emotional responses and 27.5% had stereotypical views. There was a significant correlation between experience of living with and kinship of nurses to person with mental illness, with prejudice toward and discrimination of patients. There was also a significant correlation between interest in the continuation of work in the psychiatric ward and prejudice, and also between educational degree and stereotypical views.
The data suggest there is a close correlation between the personal experience of nurses and existence of mental illness stigma among them. Therefore, the implementation of constant educational programs on mental illness for nurses and opportunities for them to have direct contact with treated patients is suggested.
污名化是精神疾病患者治疗和恢复心理健康的障碍之一。目的是确定精神科病房护士中精神疾病污名化的情况。本研究在伊朗西北部大不里士、乌尔米耶及阿尔达比勒的教学医院精神科病房开展。
本研究为描述性分析研究，80名护士参与其中。使用了研究者自制的问卷，该问卷在认知、情感和行为三个方面测量人口统计学特征及精神疾病污名化情况。所有数据使用SPSS13软件进行分析，并采用描述性和分析性统计方法。
大多数护士（72.5%）对精神疾病患者的污名化程度为中等。其中约一半（48.8%）非常倾向于让患者进行社会隔离。大多数人（62.5%）有积极的情感反应，27.5%有刻板观点。护士与精神疾病患者共同生活的经历及亲属关系，与对患者的偏见和歧视之间存在显著相关性。在精神科病房继续工作的意愿与偏见之间，以及学历与刻板观点之间也存在显著相关性。
数据表明护士的个人经历与他们当中存在的精神疾病污名化之间存在密切关联。因此，建议为护士实施关于精神疾病的持续教育项目，并为他们提供与接受治疗的患者直接接触的机会。
