Mwesiga Emmanuel K, Nakasujja Noeline, Nankaba Lawrence, Nakku Juliet, Musisi Seggane
Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
Butabika National Referral Mental Hospital, Kampala, Uganda.
S Afr J Psychiatr. 2021 Apr 22;27:1604. doi: 10.4102/sajpsychiatry.v27i0.1604. eCollection 2021.
Individual and group level interventions have the largest effect on outcomes in patients with the first episode of psychosis. The quality of these individual and group level interventions provided to first-episode psychosis patients in Uganda is unclear.
To determine the quality of the individual and group level interventions provided to first episode psychosis patients in Uganda.
The study was performed at the only tertiary psychiatric hospital in Uganda.
A retrospective chart review of recently discharged adult in-patients with the first episode of psychosis was performed. The proportion of participants who received different essential components for individual and group level interventions were calculated. From the different proportions, the quality of the services across the individual and group interventions was determined using the first-episode psychosis services fidelity scale (FEPS-FS). The FEPS-FS assigns a grade of 1-5 on a Likert scale depending on the proportion of patients who received the different components of the intervention. Twelve essential components across the individual and group interventions were assessed and their quality quantified.
The final sample included 156 first-episode psychosis patients. The median age was 27 years (inter-quartile range [IQR] [24-36]) and 55% of the participants were female. All 12 essential components had poor quality with the range of scores on the FEPS-FS between one and three. Only one essential component assessed (use of single antipsychotics) had moderate quality.
Amongst current services at the Butabika National Referral Mental Hospital in Uganda, the essential components for individual and group level interventions for psychotic disorders are of poor quality. Further studies are required on how the quality of these interventions can be improved.
个体和团体层面的干预措施对首次发作精神病患者的治疗效果影响最大。乌干达为首次发作精神病患者提供的这些个体和团体层面干预措施的质量尚不清楚。
确定乌干达为首次发作精神病患者提供的个体和团体层面干预措施的质量。
该研究在乌干达唯一的三级精神病医院进行。
对近期出院的首次发作精神病成年住院患者进行回顾性病历审查。计算接受个体和团体层面干预不同基本组成部分的参与者比例。根据不同比例，使用首次发作精神病服务保真度量表（FEPS-FS）确定个体和团体干预措施的服务质量。FEPS-FS根据接受干预不同组成部分的患者比例在李克特量表上给出1-5级评分。评估了个体和团体干预措施中的12个基本组成部分，并对其质量进行量化。
最终样本包括156名首次发作精神病患者。中位年龄为27岁（四分位间距[IQR][24-36]），55%的参与者为女性。所有12个基本组成部分质量都很差，FEPS-FS评分在1到3分之间。评估的12个基本组成部分中只有一个（使用单一抗精神病药物）质量中等。
在乌干达布塔比卡国家转诊精神病医院目前的服务中，针对精神障碍的个体和团体层面干预措施的基本组成部分质量较差。需要进一步研究如何提高这些干预措施的质量。
