在荷兰的乌克兰流离失所者的心理保健经验：他们的观点和专业人员的观察

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-06-14 DOI:10.1016/j.puhe.2025.105796

E.M. Gishlarkaev, M.H. Donker, B.C. Groot-Sluijsmans

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引用次数: 0

摘要

目的本研究旨在探讨乌克兰流离失所者在荷兰精神卫生保健系统的经验。它为政策提供了信息，为医疗保健提供者提供了指导，并最终改善了针对这一群体需求的精神卫生服务。本研究采用基于社会建构主义范式的质性研究设计。方法：该研究于2024年在荷兰埃因霍温对14名乌克兰流离失所者和专业人员进行了半结构化访谈。数据收集的重点是参与者对精神卫生保健的经验和看法。本文采用反身性主题分析法对数据进行分析。结果本研究确定了三个关键主题：(1)压力源；(2)获得精神保健的障碍；(3)替代性应对机制。障碍包括在医疗保健系统中遇到的困难、语言障碍和耻辱。虽然这些挑战限制了获得护理的机会，但流离失所者也会向家庭、朋友和社区资源寻求社会支持，以满足其心理健康需求。结论研究结果强调了在荷兰为乌克兰流离失所者制定有针对性的心理保健战略的必要性。为了解决现有精神卫生服务与其有效利用之间的差距，建议包括改善精神卫生资源信息的可及性，提供对文化敏感的支持，以及促进乌克兰流离失所者与卫生保健提供者之间的支持关系。通过解决这个问题，服务可以更好地响应这个群体的独特需求。

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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Mental healthcare experiences of Ukrainian displaced people in the Netherlands: Their perspectives and as observed by professionals

Objectives

This study aims to explore the experiences of Ukrainian people who are displaced with the Dutch mental healthcare system. It provides insights to inform policy, guide healthcare providers, and ultimately improve mental health services tailored to the needs of this group.

Study design

This study employs a qualitative research design grounded in a social-constructivist paradigm.

Methods

The study conducted semi-structured interviews with a mix of fourteen Ukrainian displaced individuals and professionals in Eindhoven in the Netherlands in 2024. The data collection focused on participants' experiences and perceptions regarding mental healthcare. A reflexive thematic analysis has been used to analyze the data.

Results

This study identified three key themes: (1) Stress sources; (2) Barriers to accessing mental healthcare; and (3) Alternative coping mechanisms. Barriers include difficulties navigating the healthcare system, language barriers, and stigma. While these challenges limit access to care, displaced individuals also turn to social support from family, friends, and community resources to address their mental health needs.

Conclusion

The findings emphasize the need for targeted strategies in mental healthcare for Ukrainian displaced people in the Netherlands. To address the gap between available mental health services and their effective utilization, recommendations include improving the accessibility of information on mental health resources, offering culturally sensitive support, and fostering supportive relationships between Ukrainian displaced people and healthcare providers. By addressing this, services can become more responsive to the unique needs of this group.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.