挑战医疗专业人员和学生的精神疾病污名：系统评价和网络荟萃分析。
Challenging mental illness stigma in healthcare professionals and students: a systematic review and network meta-analysis.
机构信息
Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan.
出版信息
Psychol Health. 2021 Jun;36(6):669-684. doi: 10.1080/08870446.2020.1828413. Epub 2020 Oct 5.
OBJECTIVE
Stigma among healthcare professionals may lead to poor quality of healthcare services for patients with mental illness. This study conducts a network meta-analysis to estimate the relative efficacy between different types of anti-stigma interventions for healthcare professionals.
DESIGN
Network meta-analysis.
MAIN OUTCOME MEASURES
The attitudes and behavior intension of healthcare professionals toward mental illness.
RESULTS
A total of 18 studies (22 trials) from 9 countries are included in the analysis. In the network meta-analysis, rank probabilities show interventions with indirect contact plus lecture (SUCRA = 81.5%), direct contact plus problem-based learning workshop (SUCRA = 77.4%), and indirect contact (SUCRA = 72.2%) having the highest probability of being ranked first, second, and third, respectively.
CONCLUSION
Our findings suggest that education combining social contact is the most effective anti-stigma intervention, which can be implemented in clinical practices to help reduce this stigma and improve healthcare services for patients with mental illness.
目的
医护人员的污名化可能导致精神疾病患者获得的医疗服务质量较差。本研究进行了一项网络荟萃分析，以评估针对医护人员的不同类型抗污名干预措施的相对疗效。
设计
网络荟萃分析。
主要观察指标
医护人员对精神疾病的态度和行为意向。
结果
纳入来自 9 个国家的 18 项研究（22 项试验）。在网络荟萃分析中，间接接触加讲座的干预措施（SUCRA=81.5%）、直接接触加基于问题的学习研讨会（SUCRA=77.4%）以及间接接触（SUCRA=72.2%）的排序概率最高，分别排名第一、第二和第三。
结论
我们的研究结果表明，结合社会接触的教育是最有效的抗污名化干预措施，可以在临床实践中实施，以帮助减少这种污名化并改善精神疾病患者的医疗服务。
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