加纳心理健康立法知识：以心理健康护理中紧急情况证书的使用为例。

Knowledge of mental health legislation in Ghana: a case of the use of certificate of urgency in mental health care.

作者信息

Anokye Reindolf, Acheampong Enoch, Gyamfi Naomi, Budu-Ainooson Amy, Kyei Ernest Appiah

机构信息

1Centre for Disability and Rehabilitation Studies, Department of Community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

2Department of Health Education and Promotion, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

Int J Ment Health Syst. 2018 Jun 28;12:37. doi: 10.1186/s13033-018-0215-1. eCollection 2018.

DOI:10.1186/s13033-018-0215-1

PMID:29988474

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6025734/

Abstract

INTRODUCTION

Mental illness can affect anyone irrespective of race, gender or personal characteristics. The study sought to investigate health workers' Knowledge on Mental Health Legislation in Ghana focusing on the Certificate of Urgency.

METHODS

A descriptive study design was employed for this study. The study population included medical doctors, physician assistants, and nurses/midwives. A simple random sampling technique was used to select 384 respondents for the study. Data was collected through the use of semi-structured questionnaires.

RESULTS

Respondents who were psychiatrists were 9.56 times more knowledgeable in the use of Certificate of Urgency than those in other specialties like primary care, obstetrics and gynaecology, surgery and internal medicine; adjusted odds ratio (AOR) = 9.56 [95% confidence interval (CI) 1.57-65.2]. Respondents who had used the Certificate of Urgency before had 4.7 times more knowledge as compared to those who had not used it at all; adjusted odds ratio (AOR) = 4.77 [95% confidence interval (CI) 1.021-14.01].

CONCLUSION

Knowledge of Certificate of Urgency was generally low. Authorities of the various hospitals should organize regular in-service training to enlighten all healthcare workers on the legislation governing mental healthcare in Ghana.

摘要

引言

精神疾病可影响任何人，无论其种族、性别或个人特征如何。该研究旨在调查加纳卫生工作者对心理健康立法的了解情况，重点关注紧急证书。

方法

本研究采用描述性研究设计。研究人群包括医生、医师助理和护士/助产士。采用简单随机抽样技术选取384名受访者进行研究。通过使用半结构化问卷收集数据。

结果

精神科医生在使用紧急证书方面的知识比初级保健、妇产科、外科和内科等其他专业的人员多9.56倍；调整后的优势比（AOR）=9.56 [95%置信区间（CI）1.57 - 65.2]。与从未使用过紧急证书的人相比，之前使用过紧急证书的受访者的知识多4.7倍；调整后的优势比（AOR）=4.77 [95%置信区间（CI）1.021 - 14.01]。