到何处寻求帮助？首发精神病发作期间开始治疗的障碍。
Where to seek help? Barriers to beginning treatment during the first-episode psychosis.
作者信息
Martin Isabela Dos Santos, Ciccone Giacon Bianca Cristina, Giacchero Vedana Kelly Graziani, Guidorizzi Zanetti Ana Carolina, Fendrich Lorena, Frari Galera Sueli Aparecida
机构信息
Department of Psychiatric Nursing and Human Sciences of University of São Paulo, Ribeirao Preto College of Nursing, Brazil.
Federal University of Mato Grosso do Sul, Brazil.
出版信息
Int J Nurs Sci. 2018 Jun 30;5(3):249-254. doi: 10.1016/j.ijnss.2018.06.007. eCollection 2018 Jul 10.
OBJECTIVE
As decreasing the duration of untreated psychosis has been highlighted as key indicator in relation to improved prognosis, this study aims to identify the access barriers to beginning early treatment of young people in first-episode psychosis (FEP), based on family reports on the experience of perceiving illness and help-seeking.
METHOD
A qualitative research was carried out with 12 relatives of 12 young people passing through their first psychiatric hospital admission as a result of their FEP. Depth interviews were used for data collection and thematic content method for data analysis.
RESULTS
Barriers to beginning treatment were lack of knowledge and difficulty in recognizing mental illness, lack of knowledge on where to seek specialized treatment, and stigma and resistance to psychiatric treatment.
CONCLUSION
It was demonstrated that the family members are protagonists in the search for treatment of young people in their FPE, given that the initiative for seeking treatment came from them.
目的
鉴于缩短未治疗精神病的持续时间已被视为改善预后的关键指标，本研究旨在基于家庭对感知疾病和寻求帮助经历的报告，确定首次发作精神病（FEP）青年患者开始早期治疗的获取障碍。
方法
对12名因FEP首次入住精神病院的青年患者的12名亲属进行了定性研究。采用深度访谈收集数据，并运用主题内容分析法进行数据分析。
结果
开始治疗的障碍包括缺乏精神疾病知识及识别困难、不知何处寻求专科治疗，以及对精神科治疗的污名化和抵触情绪。
结论
鉴于寻求治疗的主动性来自家庭成员，证明了他们在FEP青年患者寻求治疗过程中起主要作用。
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