Caqueo-Urízar Alejandra, Boyer Laurent, Gilman Stephen E
Escuela de Psicología y Filosofía, Universidad de Tarapacá, Avenida 18 de Septiembre 2222, Arica, Chile.
Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115-6018, USA.
J Immigr Minor Health. 2017 Jun;19(3):606-615. doi: 10.1007/s10903-016-0376-4.
The aim of the study is to describe the need profile of outpatients with schizophrenia belonging to an Aymara ethnic group in Latin-America and to compare that profile to non-Aymara patients. A sample of 253 patients were evaluated with the Two-Way Communication Checklist (2-COM Checklist) measuring the needs and satisfaction of the patient; Positive and Negative Syndrome scale for Schizophrenia (PANSS) and Attitude to the Drugs (DAI-10). No significant differences were found between Aymara and non-Aymara, either in the total number of needs or in the subscales of satisfaction or in the types of needs. After adjustment for socio-demographic and clinical factors, patients with higher severity (PANSS) had higher number of needs and lower level of satisfaction. Higher score on DAI-10 is related to a higher total number of needs and better satisfaction with medication. Age, sex, ethnicity and employment were also associated with specific needs. The profile of the needs of schizophrenic Aymara patients does not differ from that of non-Aymara patients, and that in both groups it is necessary that the treatment primarily address symptom management and the subjective aspects of quality of life.
本研究的目的是描述拉丁美洲属于艾马拉族的精神分裂症门诊患者的需求概况，并将该概况与非艾马拉族患者进行比较。使用双向沟通清单（2-COM清单）对253名患者进行评估，该清单用于测量患者的需求和满意度；精神分裂症阳性和阴性症状量表（PANSS）以及药物态度量表（DAI-10）。在需求总数、满意度子量表或需求类型方面，艾马拉族和非艾马拉族之间均未发现显著差异。在对社会人口统计学和临床因素进行调整后，病情严重程度较高（PANSS）的患者需求数量较多，满意度较低。DAI-10得分较高与需求总数较多以及对药物的满意度较高相关。年龄、性别、种族和就业情况也与特定需求相关。艾马拉族精神分裂症患者的需求概况与非艾马拉族患者并无不同，并且在两组中，治疗主要解决症状管理和生活质量的主观方面都是必要的。
