Ren Zhengjia, Zhang PeiChao, Wang HongTao, Wang Hongyan
Department of Clinical Psychology, The First Affiliated Hospital to Army Medical University (Third Military Medical University), Chongqing, China.
Research Center for Modern Psychology, Wuhan University, Wuhan, China.
BMC Health Serv Res. 2018 Nov 28;18(1):902. doi: 10.1186/s12913-018-3724-3.
Psychological disturbances are prevalent in people with burn injuries; however, psychological services are rarely accessiblepost-burn injury in China. The objective of this qualitative study was to explore and conceptualize the obstacles to delivering mental health care in burn injury patients.
The researchers used a grounded theory research approach to interview sixteen burn injury patients, five nurses, four rehabilitation therapists, five medical doctors, and eight caregivers regarding their experiences with current health care services and barriers.
An explorative model was generated from the data, and the relationships among the categories were identified. People's beliefs, knowledge, socioeconomic status, cultural understanding of mental health, and social stigma appear to play key roles in the public health approach to post-burn health promotion and post-burn psychosocial interventions.
The model proposed in our research highlights the need to focus on the underlying social, economic, and cultural determinants of mental health care. The underlying social determinants of the mental health care gap that is responsible for the ill-prepared health care must be addressed.
心理障碍在烧伤患者中很常见；然而，在中国，烧伤后很少能获得心理服务。这项定性研究的目的是探索并概念化烧伤患者心理健康护理的障碍。
研究人员采用扎根理论研究方法，就他们对当前医疗服务的体验和障碍，采访了16名烧伤患者、5名护士、4名康复治疗师、5名医生和8名护理人员。
从数据中生成了一个探索性模型，并确定了各类别之间的关系。人们的信念、知识、社会经济地位、对心理健康的文化理解以及社会污名，似乎在烧伤后健康促进和烧伤后心理社会干预的公共卫生方法中起着关键作用。
我们研究中提出的模型强调了关注心理健康护理潜在社会、经济和文化决定因素的必要性。必须解决造成医疗准备不足的心理健康护理差距的潜在社会决定因素。
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