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评估印度卡纳塔克邦初级保健医生的灾难心理健康准备情况:设计并开展一项知识、态度和实践调查。

Assessing disaster mental health preparedness among primary health care physicians of Karnataka, India: Designing and conducting a knowledge, attitude, and practice survey.

作者信息

Prakash Aishwarya, Chandna Ateev S, Panda Tushar K, Puri Madhavi, Parthasarathy Rajani, Manikappa Sanjeev K, Christy Jayakumar, Goyal Ajay K, Damodharan Dinakaran

机构信息

Department of Psychosocial Support in Disaster Management, NIMHANS, Bengaluru, Karnataka, India.

Department of Health and Family Welfare, Government of Karnataka, Bengaluru, Karnataka, India.

出版信息

Indian J Psychiatry. 2024 Oct;66(10):963-972. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_548_24. Epub 2024 Oct 17.

Abstract

BACKGROUND

Disaster mental health is a critical yet neglected aspect in India. Primary care physicians (PCPs) play a crucial role in mitigating mental health challenges following disasters. This study conducted a knowledge, attitude, and practice (KAP) survey among PCPs in Karnataka to assess their disaster mental health preparedness.

METHODS

A cross-sectional online survey was conducted from February to May 2023 targeting PCPs across 29 districts of Karnataka in a convenient snowball sampling method. The questionnaire review included KAP questions on disaster mental healthcare. A total of 324 PCPs responded.

RESULTS

Knowledge scores were moderate (mean: 7.05), attitudes were positive (mean: 9.15), and practices were poor (mean: 0.32). Significant correlations were found between clinical experience and knowledge/attitudes/practices (rho 0.358, < 0.001; rho 0.147, = 0.007; rho 0.232, = 0.003).

CONCLUSION

There is a large gap between theoretical knowledge and practical preparedness in disaster mental health. Training programs and government initiatives are essential to improve preparedness among PCPs.

摘要

背景

灾难心理健康在印度是一个关键但被忽视的方面。基层医疗医生在减轻灾难后的心理健康挑战方面发挥着至关重要的作用。本研究对卡纳塔克邦的基层医疗医生进行了知识、态度和实践(KAP)调查,以评估他们对灾难心理健康的准备情况。

方法

2023年2月至5月,采用方便的滚雪球抽样方法,对卡纳塔克邦29个区的基层医疗医生进行了横断面在线调查。问卷审查包括关于灾难心理保健的KAP问题。共有324名基层医疗医生做出了回应。

结果

知识得分中等(平均:7.05),态度积极(平均:9.15),实践情况较差(平均:0.32)。临床经验与知识/态度/实践之间存在显著相关性(rho 0.358,<0.001;rho 0.147,=0.007;rho 0.232,=0.003)。

结论

灾难心理健康方面的理论知识与实际准备之间存在很大差距。培训项目和政府举措对于提高基层医疗医生的准备程度至关重要。

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