乌干达精神卫生保健工作者对精神疾病患者的性与生殖健康问题的看法和经验的定性研究。
A qualitative exploration of Ugandan mental health care workers' perspectives and experiences on sexual and reproductive health of people living with mental illness in Uganda.
机构信息
Department of Public Health, University of Liverpool, Liverpool, UK.
Ministry of Health, Kampala, Uganda.
出版信息
BMC Public Health. 2022 Sep 10;22(1):1722. doi: 10.1186/s12889-022-14128-2.
BACKGROUND
People with Mental Illness experience vast sexual and reproductive health challenges due to the affected mental health. Globally, prevalence of mental illness is on the rise with subsequent increase in the number of people with sexual and reproductive challenges warranting urgent public health intervention. However, information on the perceptions and experiences of mental health workers, the key health care providers for this population is generally lacking yet it's essential for formulation of appropriate policies and public health interventions.
AIM
To explore Ugandan mental health care worker's perspectives and experiences on the sexual and reproductive health of people living with mental illness in Uganda in order to generate recommendations to the ministry of health on how it can be improved.
MATERIALS AND METHODS
Qualitative study design was employed with utilization of phone call semi-structured in-depth interviews to collect data from 14 mental health workers from Uganda's National mental referral hospital, Butabika. Purposive sampling and convenience recruitment was done and the collected data was analyzed using Thematic content analysis.
RESULTS
Four themes were generated which included people with Mental illness having normal sexual needs, mental illness effect on sexuality and relationships, practices for safeguarding sexuality of people with mental illness and the barriers encountered in the provision of sexual and reproductive health services at a mental hospital.
CONCLUSION
People with mental illness experience a multitude of sexual and reproductive health challenges that need public health interventions. However, the integration of sexual and reproductive health services in a mental hospital are not yet successful making people with mental illness to remain with unaddressed health challenges. Policies should therefore be developed and implemented to ensure successful integration of sexual and reproductive health at all mental health service care provision points.
背景
由于心理健康受到影响，精神疾病患者在性健康和生殖健康方面面临诸多挑战。在全球范围内，精神疾病的患病率呈上升趋势，随之而来的是性和生殖方面面临挑战的人数增加，这需要紧急进行公共卫生干预。然而，关于精神卫生工作者（这一人群的主要医疗保健提供者）的看法和经验的信息通常较为缺乏，但这对于制定适当的政策和公共卫生干预措施至关重要。
目的
探讨乌干达精神卫生工作者对乌干达精神疾病患者性健康和生殖健康的看法和经验，以便向卫生部提出如何改善这方面状况的建议。
材料和方法
采用定性研究设计，利用电话通话半结构化深入访谈，从乌干达国家精神转诊医院 Butabika 招募了 14 名精神卫生工作者收集数据。采用目的抽样和便利招募，使用主题内容分析法对收集的数据进行分析。
结果
生成了四个主题，包括精神疾病患者有正常的性需求、精神疾病对性和人际关系的影响、保护精神疾病患者性健康的实践以及在精神医院提供性健康和生殖健康服务时遇到的障碍。
结论
精神疾病患者在性健康和生殖健康方面面临着多种挑战，需要进行公共卫生干预。然而，性健康和生殖健康服务在精神医院的整合尚未成功，导致精神疾病患者的健康问题仍未得到解决。因此，应制定和实施政策，以确保在所有精神卫生服务提供点成功整合性健康和生殖健康服务。
Zotero 插件