Examining the challenges encountered by community health workers and empowering them to address mental health disorders:A qualitative study in Indonesia  

社区卫生工作者面对精神疾病患者的挑战及对策:质性研究

作　　者：Rizki Fitryasari Marthoenis Marthoenis Sri Warsini Kim Usher Hanik Endang Nihayati Winda Kusumawardani Hasmila Sari 

机构地区：[1]Faculty of Nursing Universitas Airlangga,Surabaya,Indonesia [2]Faculty of Nursing,Universitas Syiah Kuala,Banda Aceh,Indonesia [3]Department of Mental Health and Community Nursing,Faculty of Medicine,Public Health,and Nursing Universitas Gadjah Mada,Yogyakarta,Indonesia [4]Faculty of Medicine and Health,University of New England,Armidale,New South Wales,Australia [5]Vocational Faculty Universitas Airlangga,Surabaya,Indonesia

出　　处：《International Journal of Nursing Sciences》2025年第1期27-34,I0002,共9页国际护理科学(英文)

基　　金：This research(study design,data collection and analysis)was funded by Program Riset Kolaborasi Indonesia(RKI)-World Class University(WCU)Lembaga Penelitian dan Pengabdian Masyarakat Universitas Airlangga Indonesia in 2023 with the number:974/UN3.LPPM/PT.01.03/2023.

摘　　要：Objectives:Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals.This study aimed to explore the challenges that community health workers(CHWs)encounter while providing mental health services in the community.Methods:Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers(PHCs)among three cites of Indonesia.Focus group discussions were used to collect data.All of data were analyzed using the interpretive phenomenological analysis method.Results:Considering the participants’voluntary CHW role,the results were organized into five themes.These comprised two themes of challengesdfamily stigma and limited understanding of mental disorders,and three themes regarding efforts to overcome the challengesdmaintaining self-motivation,fostering self-efficacy,and using communication skills when approaching families and patients.Conclusions:Upskilling and empowering CHWs helps to enhance community mental health.Thus,it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.目的该研究旨在探讨印度尼西亚社区卫生工作者(community health workers,CHWs)在社区为精神疾病患者提供心理健康服务时遇到的挑战及其对策。方法采用焦点小组讨论收集资料。于2023年7-8月,在印度尼西亚3个城市的7所初级卫生保健中心,采用目的抽样法选取40名CHWs参与研究。采用解释性现象学分析法对数据进行分析。结果共提炼5个主题:2个挑战主题(家庭污名化和对精神障碍的理解有限),3个克服挑战的主题(保持自我激励、培养自我效能感,以及在接触家庭和患者时使用沟通技巧)。结论提高CHWs的技能和水平有助于改善社区精神疾病患者心理健康水平。因此,管理者可通过培训项目来提高CHWs的心理健康知识水平和沟通技巧,并减少社区家庭对他们的偏见。

关 键 词：COMMUNITY Community health workers Home nursing Mental disorders PATIENTS 

分 类 号：H31[语言文字—英语]