精神疾病对初级保健人员的影响:以肯尼亚Mathari医院为例

R. Songole, Joy Muhia, Linda W Karanja
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摘要

本研究探讨了肯尼亚Mathari医院对精神病患者的初级保健(PCG)对家庭稳定(FS)的影响,因为增加对精神病患者的初级保健(PCG)逐渐转化为家庭稳定(FS)。该研究基于两个具体目标:检查精神疾病对初级保健提供者的影响,并确定PCG形式的影响。我们检验了两个假设;H1: PCG对精神疾病患者的FS有显著的正向影响;H2:对精神病患者的PCG对FS有负向影响。这是一个横断面研究设计。使用Krejce和Morgan表格指南从800名护理人员中抽取260名样本。问卷与封闭的问题被分发给照顾者,以获得结果,后来筛选的准确性,并进入SPSS(版本22)。一份25项的照顾者自我报告用于评估慢性老年患者家庭照顾者的压力水平,采用Epstein-Lubow的两项研究的协效α信度值为0.7804和0.98来测量FS。此外,本研究采用本笃和迪尔斯伯勒(Benedict & Dillsboro)认可的14项照护者问卷对照护行为进行测量。采用配对t检验确定精神病人给予PCG对FS的影响。研究结果表明;向肯尼亚的精神病患者提供交通、膳食准备、药物、步行协助、步行病人和厕所服务,有几个因素解释了FS:在肯尼亚照顾他们的精神病患者;时间的平衡、资源的分配、对精神病患者的歧视、作为社区和家庭事务的耻辱、缺乏隐私和过多的责任。本研究在肯尼亚建立了PCG与精神疾病和FS之间的正相关关系。此外,方差分析结果显示,PH给予对肯尼亚FS的影响具有统计学意义的正显著性。
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Effect of Mental Illness on the Primary Care Givers: A Case Study of Mathari Hospital, Kenya
The study explored the effect of primary care giving (PCG) to mentally ill on family stability (FS) in Mathari hospital, Kenya given the fact that increasing PCG to mentally ill is gradually translating into FS. The study was based on two specific objectives: to examine the effects of Mental illness on the primary care givers and to establish the effects of the forms of PCG. Two hypotheses were tested; H1: PCG to mentally ill have a significant positive effect on FS; H2: PCG to the mentally ill has a negative effect on FS. This was a cross section study design. A sample of 260 from 800 care-givers was obtained using Krejce and Morgan table guide. Questionnaires with close ended questions were distributed to care-givers to obtain results that were later screened for accuracy and entered into SPSS (Version 22). A 25-item care-giver self-report used to assess stresslevels of family caregivers for chronically ill older adult patients, with co-efficient Alpha reliability values of .7804, and .98 from two studies by Epstein-Lubow was used to measure FS. Besides, a 14-items care-giver questionnaire adopted from Lifetime resources was adopted to measure care-giving as approved by Benedict & Dillsboro. The effect of PCG giving to mentally ill on FS was established using paired T-test. Findings showed that; transportation, meal preparations, medication, walking assistance, walking patients and toilet services were given to the mentally ill in Kenya and several factors explained FS: taking care of their mentally ill in Kenya; balance of time, share of resources, discrimination of mentally ill people, stigma as a community and family affair, lack of privacy and too much responsibilities. The study established a positive relationship between PCG to mentally ill and FS in Kenya. Besides, ANOVA results showed a statistically positive significant effect of PH giving on FS in Kenya.
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