Chikaodiri Aghukwa Nkereuwem
Department of Psychiatry, Aminu Kano Teaching Hospital, Kano, Nigeria.
Ment Illn. 2010 Jan 22;2(1):e1. doi: 10.4081/mi.2010.e1. eCollection 2010 Jan 25.
A few months from the time of this survey, the nearly completed inpatient psychiatric facility within the Aminu Kano Teaching Hospital's complex would be ready for admissions. Understanding the health workers' level of experience of mental illness and their likely behavioural responses towards people with psychiatric illness, therefore, should be a good baseline to understanding their likely reactions towards admitting such patients within a general hospital setting. The study, which used a pre-tested and adapted attribution questionnaire, was prospective and cross-sectional. Randomly selected health workers in Aminu Kano Teaching Hospital had their level of familiarity and attributions towards psychiatric patients assessed. The respondents showed a high level of experience with mental illness, with more than 3 in 5 of them having watched movies on mental illness before. More than half of them held positive (favorable) attributions towards persons with mental illness on nine of the ten assessed attribution factors. Almost all held negative (unfavourable) opinion towards intimate relationships with such persons. Attribution factors, "Responsibility, "Anger", "Dangerousness", "Fear" and "Segregation" were significantly related to the respondents' level of education (P<0.05). Marital status of the respondents related significantly to "Pity" and "Avoidance" factors (P<0.05). Having watched movies on mental illness significantly related to "Responsibility" and "Fear" factors (P<0.05). Programs designed to improve the health workers mental health literacy, and increased positive professional contacts with mentally ill persons on treatment, would further enhance their perceived positive attributions towards them.
在本次调查开展几个月后，阿明努·卡诺教学医院综合院区即将完工的住院精神科设施将准备好接收患者。因此，了解医护人员对精神疾病的经验水平以及他们对精神疾病患者可能的行为反应，应该是理解他们在综合医院环境中接收此类患者时可能反应的良好基线。该研究使用了经过预测试和改编的归因问卷，是前瞻性横断面研究。对阿明努·卡诺教学医院随机挑选的医护人员对精神科患者的熟悉程度和归因进行了评估。受访者显示出对精神疾病有较高的经验水平，超过五分之三的人之前看过关于精神疾病的电影。在十个评估的归因因素中，超过一半的人对精神疾病患者持有积极（有利）的归因。几乎所有人对与这类患者建立亲密关系都持负面（不利）看法。归因因素“责任”“愤怒”“危险性”“恐惧”和“隔离”与受访者的教育水平显著相关（P<0.05）。受访者的婚姻状况与“同情”和“回避”因素显著相关（P<0.05）。看过关于精神疾病的电影与“责任”和“恐惧”因素显著相关（P<0.05）。旨在提高医护人员心理健康素养以及增加与接受治疗的精神疾病患者的积极专业接触的项目，将进一步增强他们对这些患者的积极归因。
