Department of Clinical Psychology, National Institute of Mental Health and NeuroSciences, Bangalore 560029, India.
Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore 560029, India.
Asian J Psychiatr. 2014 Dec;12:63-8. doi: 10.1016/j.ajp.2014.06.013. Epub 2014 Jul 1.
There are very few studies on user-perspectives about mental health care services that explore perspectives of family caregivers in India. An exploratory study was undertaken to understand the perceived importance of various aspects of interactions with mental health service providers during hospitalization, from the perspectives of family caregivers. In addition, it also aimed at documenting their actual experience of interactional aspects of care during the hospitalization of their relatives. The study was conducted on fifty family caregivers of patients with varied psychiatric diagnoses hospitalized in a tertiary psychiatric care setting in South India. Measures of Interactional aspects of care were developed to assess perceived importance of six different interactional domains of care and the actual experience of care in these domains. Provision of informational inputs and addressing of concerns raised emerged as the domains of care given highest importance. The item pertaining to 'sharing with the caregiver about different alternatives for treatment' received negative ratings in terms of actual experience by maximum number of participants (18%). Significant differences on perceived importance of four domains of interactional aspects of care (dignity, confidentiality and fairness, addressing concerns raised, informational inputs and prompt attention and consistent care) emerged between caregiver subgroups based on educational level of the caregiver, socio-economic status, hospitalization history and broad diagnostic categories. In addition, the care givers of patients with psychoses assigned significantly more positive ratings on actual experience for all the domains of interactional aspects of care. The findings have implications for further research and practice.
关于印度家庭照顾者对精神卫生保健服务看法的研究很少。本探索性研究旨在了解家庭照顾者对住院期间与精神卫生服务提供者互动各个方面的看法，了解他们对住院期间与精神卫生服务提供者互动各个方面的看法。此外，它还旨在记录他们在亲属住院期间互动护理方面的实际体验。该研究在印度南部一家三级精神保健机构住院的 50 名不同精神诊断患者的家庭照顾者中进行。制定了互动护理方面的措施，以评估六个不同护理互动领域的护理重要性和在这些领域的实际护理体验。提供信息投入和解决提出的问题被认为是给予最高重视的护理领域。关于“与照顾者分享不同治疗选择”的项目在最大数量的参与者（18%）的实际经验方面获得了负面评价。基于照顾者的教育水平、社会经济地位、住院史和广泛的诊断类别，在互动护理方面的四个领域的重要性方面（尊严、保密性和公平性、解决问题、信息投入和及时关注以及持续护理）出现了照顾者亚组之间的显著差异。此外，精神疾病患者的照顾者对所有互动护理方面的领域的实际经验给予了更高的评价。这些发现对进一步的研究和实践具有重要意义。
