北京市综合医院心理卫生服务现状  

Mental health services provided in general hospitals in Beijing

作　　者：安静[1] 张亚利[1] 李献云[1] 童永胜[1] 梁红[1] 王绍礼[1] 杨甫德[1] 赵丽婷[1] 岳琳琳[1] 徐东[1] 

机构地区：[1]北京回龙观医院北京心理危机研究与干预中心,世界卫生组织心理危机预防研究与培训合作中心,北京100096

出　　处：《中国心理卫生杂志》2013年第2期87-92,共6页Chinese Mental Health Journal

基　　金：世界卫生组织资助项目(WPCHN 1003566)

摘　　要：目的:了解2009年北京地区各级综合医院心理卫生服务状况。方法:按照北京市卫生局提供的名单向北京全部272家各级综合医院发放自编"综合医院精神卫生服务情况调查表",内容包括2009年医院一般情况、医院提供心理卫生服务的情况、提供心理卫生服务人员的特征,以及精神科药物的使用情况等。结果:共有111家(40.8%)的医院完成调查,43家医院(8.7%)至少提供1种心理卫生服务,其中提供门诊心理卫生服务的有36家(32.4%)。神经症(30.1%)和情感障碍(29.9%)是门诊患者中最常见的两种心理问题。仅有20家(18%)综合医院有精神科会诊服务。综合医院中共369人从事心理卫生工作,其中63.9%仅有初级或不具备专业水平;69.9%目前没有达到本科学历;41.9%的人员从事心理卫生服务工作的年限不足5年;11.6%的人员未接受过专业培训,44.2%接受专业培训不足一年。与一二级医院相比,三级医院提供心理卫生服务人员的受教育水平高,具有高级职称专业水平的人更多,接受的培训更多(均P<0.01)。结论:目前北京市综合医院提供的心理卫生服务的种类和范围十分有限,尤其是一二级医院,心理卫生服务人员的专业培训有待进一步加强。Objective： To explore mental health services provided in general hospitals of Beijing in 2009. Methods： The self-made questionnaire was distributed to 272 general hospitals in Beijing, covering the infor- mation on the general situation, categories of mental health services, characteristics of mental health service provid- ers, and the use of psychiatric prescription in general hospital in 2009. Results： Totally 111 （40. 8% ） general hospi- tals finished the questionnaire, in which 43（38.7% ） hospitals provided at least one type of mental health service, 36 （32.4%） hospitals provided outpatient services. Neurosis （30. 1% ） and affective disorders （29. 9% ） were the two most common diagnoses among the first visit outpatients. Only 20 （18%） general hospitals have the consultations services. Mental health providers with primary or without professional level accounted for 63.9% and those with a degree lower than Bachelor accounted for 69. 9%. The proportion of individuals who had provided mental health services for less than five years was 41.9%. Those who received mental health training less than 12 months accoun- ted for 44. 2% and never received the training accounted for 11.6%. The mental health providers in the tertiary general hospitals had a much higher education level, a much longer duration of training and higher professional titlethan those in the primary or secondary general hospitals （P 〈 0. 01）. Conclusion： It suggests that the mental health services provided in general hospitals of Beijing is limited, especially in the primary and secondary general hospi- tals. It is necessary to enhance the professional training of the staff in general hospitals.

关 键 词：综合医院 心理卫生服务 横断面研究 

分 类 号：R395.6[哲学宗教—心理学] R749.05[医药卫生—医学心理学]