Stigmatizacija psihijatrijskih pacijenata od strane medicinskih sestara

master's thesis

• Title (english): Stigmatization of psychiatric patients by nurses
• Author: Josipa Iljkić Guttler
• Mentor: Marina Šagud (mentor)
• Committee member: Vesna Medved
• Committee member: Dražen Begić
• Committee member: Marina Šagud
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2015-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Cilj ovog istraživanja bio je ispitati stavove i stupanj socijalne distance prema pacijentima s psihijatrijskom dijagnozom od strane medicinskih sestara/tehničara kako bi se mogle planirati aktivnosti usmjerene na smanjenje stigme i socijalne distance. To je važno jer stavovi i ponašanje medicinskih sestara/tehničara uvelike utječu na samostigmatizaciju pacijenata, a time i na njihovo stanje i oporavak, ali imaju utjecaj i na stavove i socijalnu distancu od strane društva u cjelini. Na uzorku od 171 ispitanika, putem MICA-4 skale stavova i skale socijalne distance, ispitani su stavovi i stupanj socijalne distance prema psihičkim bolesnicima od strane medicinskih sestara/tehničara sa iskustvom rada na psihijatrijskim odjelima i na različitim somatskim odjelima. Rezultati ukazuju da nije prisutna visoka razina stigmatizirajućih stavova (MICA=40.02), a stupanj socijalne distance prema oboljelima od psihijatrijskih bolesti nije se pokazao visok, nego umjeren. Sadržajnom analizom stavova, vidljivo je da su neki stigmatizirajući stavovi ipak prisutni: više od 60 % ispitanika se slaže da su psihijatrijski pacijenti opasni, 70 % navodi da nikada ne bi rekli prijateljima da boluju od psihičkog poremećaja, a 70 % navodi da, ako se osoba oboljela od psihičkog poremećaja požali na somatske smetnje to bi pripisali psihičkoj bolesti. Najviši stupanj socijalne distance zabilježen je prema liječenim narkomanima i oboljelima od shizofrenije, a najmanji prema oboljelim od depresije i anksioznosti. Utjecaj mjesta rada (psihijatrija/somatski odjel) i sociodemografskih karakteristika (dob, mjesto stanovanja, broj godina radnog iskustva, spol i roditeljstvo) na stavove i stupanj socijalne nije utvrđen kao statistički značajan. Možemo zaključiti da unatoč tome što medicinske sestre/tehničari ne ispoljavaju negativne stavove i socijalnu distancu u visokom stupnju, stigmatizacija je ipak prisutna, posebice prema narkomanima i oboljelima od shizofrenije te postoji potreba za planiranjem posebnih aktivnosti usmjerenih na borbu protiv stigme.

Abstract (english)

Nurse's attitudes and behaviour have an impact on both self-stigmatization and recovery of patients, and social distance toward psychiatric patients in society. This study aimed to establish the attitudes and social distance of nurses towards psychiatric patients, in order to plan future activities to reduce stigmatization. The study involved 171 participants, including psychiatric nurses and nurses on other departments. The assessment was made with self-administered Clinicians' Attitudes (MICA) v4 scale and the scale of social distance. The total score of MICA was 40.02, suggesting low level of stigmatization. Level of social distance toward patients with mental illness was moderate. Factor analysis revealed stigmatization is some areas, in terms of belief that psychiatric patients are dangerous (60 %), in case of its own psychiatric condition, not willing to admit it (70 %), and tendency to contribute somatic complaints complaints in psychiatric patients to their psychiatric illness (70 %). The highest level of social distance was expressed against drug addicts and patients with schizophrenia, whilst the lowest distance was reported towards patients with depression and anxiety disorders. Working facilities (mental health nurses vs other nurses) and demographic data (age, gender, city of residence, years of professional experience, parenthood) did not influence attitudes and social distance views. The present study supports that, despite lack of high stigmatization towards psychiatric patients, there is a certain amount of social distance, particularly towards drug addicts and schizophrenic patients. There is a need for additional

• Keywords: stigma; osobe s psihijatrijskom dijagnozom; medicinske sestre/tehničari
• Keywords (english): stigma; psychiatric patients; nurses
• Language: croatian
• URN:NBN: urn:nbn:hr:105:100287
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-04-25 08:50:36