中国湖南省和毛里求斯影响精神疾病患者求医行为阻碍因素对比研究

发布时间：2018-03-24 09:09

本文选题：未接受抗精神疾病治疗　切入点：求助行为　出处：《中南大学》2013年硕士论文

【摘要】：目的：本研究旨在从社会人口统计因素、地理学因素、经济因素和对精神疾病歧视及病耻感这四个方面进行研究,以上四个不利因素是依照已有相关研究中提及的因素进行总结得出。分别在中国湖南省和毛里求斯两个地理位置相距较远、文化存在明显差异的地方对以上四个不利因素进行调查对比研究。同时,精神疾病患者和其家庭成员对于影响精神疾病治疗不利因素的认识是否存在差异,也是本次研究的目的之一。方法：对2011年12月至2013年1月中国湖南省和毛里求斯共300例精神疾病患者和其家庭成员进行面对面问卷调查。其中200例精神疾病患者和其家属的问卷调查来自中国湖南省,100例精神疾病患者和其家属的问卷调查来自毛里求斯。调查问卷分为两份,一份由精神疾病患者填写,另一份由其家属填写,虽然针对不同人群,但两份问卷内容总体是相似的。对中南大学湘雅二医院精神卫生研究所的住院和门诊精神疾病患者和其家庭成员调查中,共完成问卷400份。对毛里求斯Brown Sequard精神卫生研究中心的住院和门诊精神疾病患者和其家庭成员调查中,共完成问卷100份。结果：3个月以上未接受抗精神疾病治疗与30-39岁女性精神疾病患者组存在相关性(p=0.013),也与被调查者中有离异经历者组存在相关性(p=0.018),以上相关性只存在中国湖南省被调查者中。毛里求斯被调查组中,在社会人口统计方面未发现类似相关性。长期未接受抗精神疾病治疗与就诊路程遥远之间在两地调查中均未有统计学差异。长期未接受抗精神疾病治疗与每月收入较低组之间,毛里求斯被调查组中存在相关性(p=0.018),中国湖南省被调查组未发现相关性。中国湖南省被调查组中,长期未接受抗精神疾病治疗与选择更为便宜的治疗方式,如：中医治疗,宗教和迷信治疗之间存在相关性(p=0.087),毛里求斯被调查组未发现相关性。长期未接受抗精神疾病治疗与疾病歧视及病耻感在中国湖南省被调查精神疾病患者组中存在相关性,其中包括害怕被他人孤立(p=0.076)和被配偶抛弃(p=0.014)。长期未接受抗精神疾病治疗与担心被剥夺财产继承权方面,毛里求斯被调查精神疾病患者组(p=0.089)和中国湖南省被调查患者家庭成员组(p=0.013)均存在相关性。结论：此对中国湖南省和毛里求斯调查研究结果表明,文化因素对于精神疾病治疗发展存在影响。这与其他国家已有相关研究的结论存在明显不同。本研究中,中国湖南省被调查组中年长女性、离异精神疾病患者、对治疗方式的选择和疾病歧视及病耻感与精神疾病治疗发展的不利因素有关。毛里求斯被调查者组中月收入较低、担心因精神疾病被剥夺财产继承权与精神疾病治疗发展的不利因素有关。因此,在中国湖南省和毛里求斯两地,缺乏家庭支持对寻求精神疾病治疗帮助会产生负面影响。
[Abstract]:Objective: to study the social and demographic factors, geographical factors, economic factors, discrimination against mental illness and stigma. The above four unfavorable factors are summed up according to the factors mentioned in the relevant studies. In Hunan Province and Mauritius, respectively, they are far apart from each other. A comparative study of the above four adverse factors was carried out where there were significant cultural differences. At the same time, whether there were differences in understanding of the adverse factors affecting the treatment of mental illness among patients with mental illness and their family members, Is also one of the purposes of this study. Methods: from December 2011 to January 2013, a total of 300 patients with mental illness and their family members in Hunan Province and Mauritius, China, were investigated by face-to-face questionnaire. A questionnaire survey of 100 mental illness patients and their families in Hunan Province, China was conducted from Mauritius. The questionnaire was divided into two parts. One by the mentally ill, the other by the family, though for different groups, However, the contents of the two questionnaires were similar in general. In a survey of inpatient and outpatient mental illness patients and their family members in the Institute of Mental Health, Xiangya second Hospital, Central South University, A total of 400 questionnaires were completed. A total of 100 questionnaires were completed among inpatient and outpatient psychiatric patients and their family members at the Brown Sequard Mental Health Research Centre in Mauritius. Results: no antipsychotic therapy for more than 3 months was associated with 30-39 years old female patients with mental illness. There was also a correlation with the subjects with divorced experience group. The above correlation only existed in Hunan Province, China. Among the investigators. Mauritius was investigated, No similar correlation was found in socio demographics. There was no statistical difference between the long term absence of antipsychotic treatment and the long distance to visit the hospital. There was no statistical difference between the long term absence of antipsychotic treatment and the lower monthly income group. There was a correlation between Mauritius and Hunan Province, but no correlation was found in Hunan Province, China. In the investigation team of Hunan Province, China's Hunan Province was not treated for a long period of time with the treatment of antipsychotic disorders and the choice of cheaper treatment methods, such as the treatment of traditional Chinese medicine. There was a correlation between religious and superstitious treatment, but no correlation was found by the investigation team in Mauritius. There was a correlation between long-term failure to receive antipsychotic treatment and disease discrimination and stigma in the group of patients with mental illness investigated in Hunan Province, China. These include fear of isolation by others (p0.076) and abandonment by spouses. Long periods of non-treatment against mental illness and fear of disinheritance of property, There was a correlation between the patients with mental illness in Mauritius (0.089) and the family members of the investigated patients in Hunan Province of China (P 0.013). Conclusion: the results of this investigation in Hunan Province and Mauritius indicate that cultural factors have an effect on the treatment and development of mental illness, which is obviously different from that of other countries. Middle-aged women in Hunan Province, China, divorced patients with mental illness, the choice of treatment methods and disease discrimination and stigma are related to the development of mental illness treatment. There are concerns that disinheritance from mental illness is associated with adverse factors in the development of treatment for mental illness. Therefore, lack of family support can have a negative impact on seeking treatment for mental illness in both Hunan and Mauritius.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749

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