加纳孕产妇心理健康问题的应对障碍。
Barriers to addressing mental health issues in childbearing women in Ghana.
机构信息
Department of Mental Health School of Nursing and Midwifery College of Health Sciences University of Ghana Accra Ghana.
Research and Grant Institute of Ghana Accra Ghana.
出版信息
Nurs Open. 2020 Aug 1;7(6):1779-1786. doi: 10.1002/nop2.564. eCollection 2020 Nov.
AIM
The aim of the study is to investigate factors hampering the provision of mental health services by nurses and midwives to childbearing women to assist in the prioritization and distribution of limited mental health resources.
DESIGN
This is a cross-sectional self-report study.
METHODS
Data collected from 309 nurses and midwives were analysed using descriptive and inferential statistic, namely chi-square and analysis of variance (ANOVA).
RESULTS
The barriers reported by the participants include unavailability of mental health services (77%), lack of knowledge of mental health in women from different tribes (75.7%), lack of a clear mental healthcare pathway (75.1%), heavy workload (74.1%) and lack of knowledge of mental health issue (74.1%). These barriers are less likely to be reported by participants who are males, old and who have practiced for a long time.
CONCLUSIONS
Systematic effort to restructure the healthcare delivery system, including equipping healthcare professionals with requisite knowledge, skills and competencies in maternal mental health, is highly recommended.
目的
本研究旨在调查阻碍护士和助产士向产妇提供心理健康服务的因素，以帮助优先分配有限的心理健康资源。
设计
这是一项横断面的自我报告研究。
方法
对 309 名护士和助产士收集的数据进行了描述性和推断性统计分析，包括卡方检验和方差分析（ANOVA）。
结果
参与者报告的障碍包括心理健康服务不可用（77%）、不同部落妇女心理健康知识不足（75.7%）、缺乏明确的精神保健途径（75.1%）、工作量大（74.1%）和缺乏对心理健康问题的认识（74.1%）。这些障碍在男性、年龄较大和从业时间较长的参与者中较少报告。
结论
强烈建议系统地努力重构医疗保健提供系统，包括为医疗保健专业人员提供孕产妇心理健康方面必要的知识、技能和能力。
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