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加纳孕妇寻求和接受心理健康服务。

Seeking and receiving help for mental health services among pregnant women in Ghana.

机构信息

Department of Mental Health Nursing, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Legon Accra, Ghana.

出版信息

PLoS One. 2023 Mar 3;18(3):e0280496. doi: 10.1371/journal.pone.0280496. eCollection 2023.

Abstract

OBJECTIVE

The heightened vulnerability of women to mental health issues during the period of pregnancy implies that seeking and receiving support for mental health services is a crucial factor in improving the emotional and mental well-being of pregnant women. The current study investigates the prevalence and correlates of seeking and receiving help for mental health services initiated by pregnant women and health professionals during pregnancy.

DESIGN

Using a cross-sectional design and self-report questionnaires, data were collected from 702 pregnant women in the first, second and third trimesters from four health facilities in the Greater Accra region of Ghana. Data were analyzed using descriptive and inferential statistics.

RESULTS

It was observed that 18.9% of pregnant women self-initiated help-seeking for mental health services whereas 64.8% reported that health professionals asked about their mental well-being, of which 67.7% were offered mental health support by health professionals. Diagnosis of medical conditions in pregnancy (i.e., hypertension and diabetes), partner abuse, low social support, sleep difficulty and suicidal ideation significantly predicted the initiation of help-seeking for mental health services by pregnant women. Fear of vaginal delivery and COVID-19 concerns predicted the provision of mental health support to pregnant women by health professionals.

CONCLUSION

The low prevalence of individual-initiated help-seeking implies that health professionals have a high responsibility of supporting pregnant women achieve their mental health needs.

摘要

目的

女性在怀孕期间更容易受到心理健康问题的影响,因此寻求和接受心理健康服务支持对于改善孕妇的情绪和心理健康至关重要。本研究旨在调查孕妇和医疗保健专业人员在怀孕期间主动寻求和获得心理健康服务的情况及其相关因素。

设计

本研究采用横断面设计,使用自陈式问卷,在加纳大阿克拉地区的 4 家医疗机构收集了 702 名处于孕早期、孕中期和孕晚期的孕妇的数据。采用描述性和推断性统计方法对数据进行分析。

结果

研究发现,18.9%的孕妇主动寻求心理健康服务,而 64.8%的孕妇报告称医疗保健专业人员询问过她们的心理健康状况,其中 67.7%的孕妇得到了医疗保健专业人员提供的心理健康支持。孕期医疗状况(即高血压和糖尿病)、伴侣虐待、社会支持低、睡眠困难和自杀意念显著预测了孕妇主动寻求心理健康服务。对阴道分娩的恐惧和对 COVID-19 的担忧预测了医疗保健专业人员为孕妇提供心理健康支持的情况。

结论

孕妇主动寻求帮助的比例较低,这表明医疗保健专业人员有很高的责任来支持孕妇满足她们的心理健康需求。

相似文献

1
Seeking and receiving help for mental health services among pregnant women in Ghana.加纳孕妇寻求和接受心理健康服务。
PLoS One. 2023 Mar 3;18(3):e0280496. doi: 10.1371/journal.pone.0280496. eCollection 2023.
2
Psychosis risk among pregnant women in Ghana.加纳孕妇的精神病风险。
PLoS One. 2022 Feb 3;17(2):e0263011. doi: 10.1371/journal.pone.0263011. eCollection 2022.

本文引用的文献

4
Population-Based Approaches to Mental Health: History, Strategies, and Evidence.基于人群的心理健康方法:历史、策略与证据。
Annu Rev Public Health. 2020 Apr 2;41:201-221. doi: 10.1146/annurev-publhealth-040119-094247. Epub 2020 Jan 6.
7
Help Seeking in the Perinatal Period: A Review of Barriers and Facilitators.围产期求助:障碍与促进因素的综述
Soc Work Public Health. 2019;34(7):596-605. doi: 10.1080/19371918.2019.1635947. Epub 2019 Jun 26.
8
Population Mental Health in the 21st Century: Time to Act.21世纪的人口心理健康:是时候行动了。
Am J Public Health. 2019 Jun;109(S3):S152-S153. doi: 10.2105/AJPH.2019.305200.

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