Rikhari Praveen, Sinha Vishal, Kumar Gyanendra, Bisht Ayushi, Kapoor Aayush, Rikhari Pragya
Department of Psychiatry, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly Grant, Swami Ram Nagar, beside Jolly Grant Airport, Dehradun, Uttarakhand, India.
Department of Psychiatry, S N Medical College, Agra, Uttar Pradesh, India.
J Educ Health Promot. 2025 Jul 4;14:233. doi: 10.4103/jehp.jehp_1289_24. eCollection 2025.
Mental disorders are a global concern, affecting millions worldwide. Despite effective therapies, societal stigma toward mental illness persists, hindering access to healthcare and perpetuating negative stereotypes. These prejudiced attitudes are also present in nursing professionals and impact the quality of care provided by them. This study aimed to explore the impact of a month-long residential psychiatry training program on the attitudes of nursing undergraduate students toward mental illness.
This was a longitudinal study with pre-post design conducted at a government mental health hospital and training institute in north India using convenient sampling. The Community Attitude Towards Mental Illness (CAMI) Scale, which has subscales of Authoritarianism, Benevolence, Social Restrictiveness, and Community Mental Health Ideology was used to measure the attitudes towards the mentally ill in nursing students before and after the training program. Descriptive statistics were used to present the data while paired t-tests and McNemar test were used for analysis.
A total of 970 students were included. A significant improvement in Social Restrictiveness, Community Mental Health Ideology, and the total CAMI score was noted post-training ( < 0.001 for each) while changes in Authoritarianism ( = 0.87) and Benevolence ( = 0.1) were nonsignificant but positive. Furthermore, increased willingness to work in psychiatry wards post-training was found, indicating a positive influence on career choices ( < 0.001).
The results emphasize the effectiveness of combining theoretical knowledge with real-life exposure in mental health nursing. Despite limitations, like a single-center study and no control group, the study's pre-post design and large sample size contribute valuable insights.
精神障碍是一个全球关注的问题，影响着世界各地数百万人。尽管有有效的治疗方法，但社会对精神疾病的污名仍然存在，这阻碍了人们获得医疗保健，并使负面刻板印象长期存在。这些偏见态度在护理专业人员中也存在，并影响他们提供的护理质量。本研究旨在探讨为期一个月的住院精神科培训项目对护理本科学生对精神疾病态度的影响。
这是一项在印度北部一家政府精神卫生医院和培训机构进行的采用便利抽样的前后设计纵向研究。使用社区对精神疾病的态度（CAMI）量表，该量表具有威权主义、仁爱、社会限制和社区心理健康意识形态等子量表，来测量培训项目前后护理专业学生对精神疾病患者的态度。描述性统计用于呈现数据，配对t检验和麦克尼马尔检验用于分析。
共纳入970名学生。培训后，社会限制、社区心理健康意识形态及CAMI总分有显著改善（每项均<0.001），而威权主义（=0.87）和仁爱（=0.1）的变化虽不显著但呈正向。此外，培训后在精神科病房工作的意愿增加，表明对职业选择有积极影响（<0.001）。
结果强调了将理论知识与心理健康护理中的实际接触相结合的有效性。尽管存在局限性，如单中心研究且无对照组，但该研究的前后设计和大样本量提供了有价值的见解。
