对COVID-10大流行期间影响已有精神疾病患者求医行为的因素的研究

S. R., S. S., R. T., K. P.
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引用次数: 0

摘要

保健或求医行为被定义为个人认为自己有健康问题或生病,为寻求适当补救而采取的任何行动。人们对寻求精神卫生保健时遇到的社会生态障碍了解甚少。我们的目的是确定影响covid - 19大流行期间已有精神疾病患者寻求健康行为的因素。方法:在成都医学院精神科进行为期三个月的横断面研究,样本量为105人。获得了伦理委员会的许可。纳入105例连续符合国际疾病分类10 (ICD-10)精神病诊断的患者(年龄0 ~ 18岁)。获得知情同意。获得了有关社会人口统计学和临床概况的数据。结果:本研究中39%的患者年龄在30-45岁和46-60岁之间,6.7%的患者年龄在60岁以上。69.5%的患者有经济危机,70.5%的患者家庭月收入减少30%或以上。在COVID大流行期间,由于缺乏交通设施,60%的患者难以前往医院。讨论与结论;在大流行期间,决定求医行为的因素有助于解决问题,延迟及早发现和最佳管理精神障碍。在2019冠状病毒病危机期间,实施以社区为基础的战略,支持韧性和心理脆弱的个人,对任何社区都至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study of factors affecting the health seeking behaviour of people with pre-existing mental illness during the COVID-10 pandemic
Health or care seeking behavior has been defined as any action undertaken by individuals who perceive themselves to have a health problem or to be ill for the purpose of finding an appropriate remedy. A little understanding exists concerning socio-ecological barriers experience when seeking mental health care. we aimed at determining the factors that affect health seeking behavior of people with preexisting mental illness during COVID19 pandemic. METHODOLOGY: A Cross sectional study done for three months duration at Department of psychiatry, Chengalpattu Medical College and Hospital with sample size of 105. Ethical committee clearance was obtained.105 patients (age >18 years) consecutive patients having an International Classification of Disease 10 (ICD-10) psychiatric diagnosis, were included. Informed consent was obtained. Data regarding Socio demographic and clinical profile was obtained. RESULTS: In our study,39% of the patients belonged to 30-45 and 46-60 years of age, 6.7% of patients were between the age of above 60. 60% of study participants were male and the rest were female.69.5 % of patients had financial crisis ,70.5% of patients had decrease in the monthly income of the family by 30%or more.60% of patients had difficulty in travel to the hospital due to lack of transport facility during COVID pandemic. DISCUSSION AND CONCLUSION; Factors determining health-seeking behavior can help address problems and delay in early identification and optimal management of mental disorders during pandemic. Implementing community-based strategies to support resilience and psychologically vulnerable individuals during the COVID-19 crisis is fundamental for any community.
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