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首页> 美国卫生研究院文献>Schizophrenia Research and Treatment >The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos Nigeria
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The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos Nigeria

机译：尼日利亚拉各斯精神分裂症患者首次接触心理健康服务的途径

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There is increasing evidence that delay in the commencement of treatment, following the onset of schizophrenia, may be related to the pathways patients navigate before accessing mental health care. Therefore, insight into the pattern and correlates of pathways to mental care of patients with schizophrenia may inform interventions that could fast track their contact with mental health professionals and reduce the duration of untreated psychosis. This study assessed the pathways to mental health care among patients with schizophrenia (n = 138), at their first contact with mental health services at the Federal Neuro-Psychiatric Hospital Yaba Lagos, Nigeria. Traditional and religious healers were the first contact for the majority (69%) of the patients. Service users who first contacted nonorthodox healers made a greater number of contacts in the course of seeking help, eventuating in a longer duration of untreated psychosis (P < 0.001). However, the delay between the onset of psychosis and contact with the first point of care was shorter in patients who patronized nonorthodox practitioners. The findings suggest that collaboration between orthodox and nonorthodox health services could facilitate the contact of patients with schizophrenia with appropriate treatment, thereby reducing the duration of untreated psychosis. The need for public mental health education is also indicated.
机译：越来越多的证据表明，精神分裂症发作后治疗开始的延迟可能与患者在获得心理保健之前的导航路径有关。因此，对精神分裂症患者心理护理的模式和途径的相关性的了解可能会为干预措施提供信息，这些干预措施可以快速跟踪他们与精神卫生专业人员的联系，并减少未经治疗的精神病的持续时间。这项研究评估了患有精神分裂症的患者（n = 138）在首次接触尼日利亚联邦亚巴拉各斯联邦神经精神病医院的精神卫生服务时的精神卫生护理途径。大多数患者（69％）是传统的和宗教的治疗师。首次联系非正统治疗师的服务使用者在寻求帮助的过程中接触了更多的人，导致未治疗的精神病持续时间更长（P <0.001）。但是，光顾非正统医生的患者在精神病发作和接触第一点护理之间的延迟时间较短。研究结果表明，正统和非正统卫生服务机构之间的合作可以促进精神分裂症患者接受适当治疗，从而减少未治疗精神病的持续时间。还指出需要进行公共心理健康教育。

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