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首页> 外文期刊>Indian Journal of Psychological Medicine >Pathways to Care for Patients with Bipolar-I Disorder: An Exploratory Study from a Tertiary Care Centre of North India
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Pathways to Care for Patients with Bipolar-I Disorder: An Exploratory Study from a Tertiary Care Centre of North India

机译：躁郁症患者的护理途径：来自印度北部三级护理中心的探索性研究

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Introduction: Understanding the pathways to psychiatric care is important from a public health perspective. Only a few Indian studies have focused on this, particularly for severe mental disorders. The present study was planned to assess it in patients with Bipolar-I disorder (BD-I). Materials and Methods: Sixty-four patients with DSM 5 diagnosis of BD-I and their caregivers were included. A semi-structured interview proforma was used to gather information. Results: Psychiatrists were the first care provider in 43.8% of the cases, followed by traditional faith healers (32.8%) and general physicianeurologists (17.2%). The median duration of untreated bipolar disorder (DUB) was 21 days (1 day to 152 months). Relatively long DUB (3.5 ± 3.5 years) was found for 17.2% of the sample. The median duration of the first contact with a psychiatrist was 45 days and the interval between the contact with the first care provider and a psychiatrist was 90 days (1 day to 151 months). At the time of first treatment seeking, 64% of patients and caregivers had poor awareness regarding psychiatric treatment. Conclusions: Patients with BD-I seek help from psychiatrists, faith healers or other medical practitioners for multiple reasons. There is a need to sensitise the community and various service providers about early identification and optimum management of BD-I.
机译：简介：从公共卫生的角度来看，了解精神科护理的途径很重要。印度只有少数研究集中在此方面，特别是对于严重的精神障碍。本研究计划评估患有双相-I型障碍（BD-I）的患者。材料和方法：纳入64例诊断为BD-I的DSM 5的患者及其护理人员。使用半结构化访谈形式来收集信息。结果：在43.8％的病例中，精神科医生是第一位护理提供者，其次是传统的信仰治疗者（32.8％）和普通医师/神经科医生（17.2％）。未经治疗的躁郁症（DUB）的中位持续时间为21天（1天至152个月）。相对较长的DUB（3.5±3.5年）被发现占样本的17.2％。首次与精神科医生接触的中位时间为45天，与首次护理人员和精神科医生接触的时间间隔为90天（1天至151个月）。在寻求首次治疗时，有64％的患者和护理人员对精神病治疗认识不足。结论：BD-I患者出于多种原因寻求精神科医生，信仰治疗者或其他医生的帮助。有必要使社区和各种服务提供商意识到BD-I的早期识别和最佳管理。

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