Barriers and Facilitators to Medical Help-seeking in Rural Patients with Mental Illness: A Qualitative Meta-synthesis

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2024-05-01 DOI:10.1016/j.anr.2024.04.010

Linghui Zhang , Yubin Chen , Qi Li , Jiayuan Zhang , Yuqiu Zhou

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引用次数: 0

Abstract

Purpose

Numerous barriers hinder individuals with mental illness from seeking medical assistance in rural regions, yet a comprehensive understanding of these challenges remains elusive. This meta-synthesis aims to understand the barriers and facilitators in medical help-seeking among rural individuals with mental illness.

Methods

We systematically searched seven databases [PubMed, CINAHL, Medline (OVID), PsycINFO (OVID), Cochrane, Embase, and ProQuest] in May 2023 and included the studies if they reported the barriers or/and facilitators to seek healthcare in rural patients with mental illness. We conducted hand search and citation search on Google Scholar for literature supplements. Thematic analysis was employed.

Results

The study included 27 articles reporting on the barriers and facilitators to seeking medical help in this population from 2007 to 2023. We ultimately identified themes at three levels: navigating the terrain of vulnerability and empowerment (the individual with mental illness), navigating the terrain of external environment (the external environment) and connectivity within the healthcare ecosystem for mental health (the health service system).

Conclusions

We must design more effective strategies to improve mental healthcare access for rural patients, considering cultural nuances and health service utilization patterns. This requires a multi-level approach, tailored to the unique needs of diverse populations.

查看原文本刊更多论文

农村精神病患者寻求医疗帮助的障碍和促进因素：定性荟萃。

目的：在农村地区，许多障碍阻碍了精神病患者寻求医疗救助，但对这些挑战的全面了解仍然遥遥无期。本荟萃综述旨在了解农村地区精神疾病患者寻求医疗帮助的障碍和促进因素：我们系统检索了截至 2023 年 5 月的七个数据库（PubMed、CINAHL、Medline(OVID)、PsycINFO(OVID)、Cochrane、Embase 和 ProQuest），并纳入了报告农村精神疾病患者寻求医疗帮助的障碍或/和促进因素的研究。在谷歌学术（Google Scholar）上进行手工检索和引文检索，以补充文献资料。采用主题分析法：研究共收录了 2007-2023 年间 27 篇报道该人群求医障碍和促进因素的文章。我们最终确定了三个层面的主题：精神疾病患者、外部环境和医疗服务体系：我们必须考虑到文化差异和医疗服务使用模式，设计出更有效的策略来改善农村患者的心理健康。这就需要采取多层次的方法，满足不同人群的独特需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.