ҮЙЛЧЛҮҮЛЭГЧДИЙН СЭТГЭЦИЙН ЭРҮҮЛ МЭНДИЙН ТУСЛАМЖИНД ХҮРЭХ ЗАМЫН СУДАЛГАА
- VernacularTitle:ҮЙЛЧЛҮҮЛЭГЧДИЙН СЭТГЭЦИЙН ЭРҮҮЛ МЭНДИЙН ТУСЛАМЖИНД ХҮРЭХ ЗАМЫН СУДАЛГАА
- Author:
Uyanga M
1
;
Nomin-Erdene B
1
;
Khishigsuren Z
2
Author Information
1. Mongolian National University of Medical Science
2. СЭМҮТ
- Publication Type:Journal Article
- Keywords:
Mental health, primary health care, nonprofessional service, shaman, common mental illnesses
- From:Innovation
2017;11(2):73-76
- CountryMongolia
- Language:Mongolian
-
Abstract:
BACKGROUND. In 1929, Mongolian mental health department established and since
then it has been showing qualified professional health care towards population. In code
of mental health (7.1.2) it is defined as “mental health care can be carried out by person
with professional license that indicated in health law” However, recently people tend
to seek help from nonprofessional organizations. Because of psychiatric misconception
among population, people usually don’t seek help from professional service that it makes
diagnostic delay and people suffer longer from their illness. GOAL. To define diagnoses
and pathway of people who seek help first-time from mental health care. MATERIAL AND
METHOD. This study was relied upon to NCMH out and inpatient unit. Cross-sectional
study method with purposive sampling and questionnaire method wasused in this study.
RESULT. In total of 145 patients, 76 males and 69 females, who are aged between 18 to 56
years participated in our study. According to ICD 10, majority of participants (40.7%, n=59)
had schizophrenia and schizophrenia spectrum disorders, 21.4%had stress induced disorder,
12.4 % had organic disorder, 11% had affective disorder, and 14.5 % had substance
use disorder.According to their help seeking pathway, every patient sought help from
professional organization or several nonprofessional organizations and individual person.
As we demonstrated the initial help seeking pathway of participants 40% sought help from
religious service, 26.2% sought help from psychiatrist, 17.2% sought help from general
and 16.6% sought help from other professional doctors. Therefore we demonstrated the
amount of participants who sought help from nonprofessional organization and individual
person that 60.6% sought help from shaman, 62% sought help from lama. Primary or
secondary educated people are tend to seek help from religious service which was statistically
significant (p≤0.006).in total of 107 participants sought help from nonprofessional
organization and each patient spent about 5,629,122.30±928799 tugrug, but average of
total medical fee for per patients in NCMH was 83916±7793 tugrug which costs 7 times
lower than nonprofessional organization but improves patients` mental state more, significantly
(p≤0.001) Primary or secondary educated patients likely to have diagnostic delay 1
time more than high educated patients, people with nonprofessional initial help seeking
likely to have diagnostic delay 2 times more than psychiatric initial help seeking patients
and people who imply that religion causes mental illness have diagnostic delay with 2
times more, significantly. (p≤0.001). CONCLUSION. According to study result stress induced
disorder and schizophrenia were the majority of total participants. People tend to
seek professional help far lately from symptom onset. Psychiatric misconception and inadequate
health education among the population are the main reason of diagnostic delay.
