北京市社区医务人员精神卫生知识知晓度调查  

A survey of mental health literacy of community medical staffs in Beijing

作　　者：程嘉[1] 原岩波[1] 文炳龙 于玲[1] 马宁[1] 马弘[1] 于欣[1] 姚贵忠[1] 王骁[1] 

机构地区：[1]北京大学第六医院北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学),北京100191

出　　处：《中国心理卫生杂志》2016年第1期18-22,共5页Chinese Mental Health Journal

基　　金：北京市科委重点项目(D121100005012004)

摘　　要：目的:调查北京市社区医务人员精神卫生知识知晓度(Mental health literacy,MHL),为提高基层医务人员MHL提供依据。方法:选取北京市社区卫生服务中心非精神卫生防治医务人员(简称非精防)197名,工作年限(14.1±10.2)年。社区精神卫生防治医务人员(简称精防)131名,从事精防工作年限(6.5±6.4)年。采用卫生部办公厅印发的精神卫生知识问卷和自编案例调查表进行调查。结果:两组精神卫生知识平均知晓率都>80%(87.6%,91.6%),第2(75.6%,88.6%)、6(74.1%,62.6%)、19(36.5%,65.6%)、20(74.1%,86.2%)条目有正确率<80%,两组差异有统计学意义(P<0.05)。在案例调查表中,非精防医务人员疾病识别处理能力平均正确率低于精防医务人员,差异有统计学意义(64.6%vs.75.9%,P<0.001),两组均是抑郁症正确率最低,总体之间有统计学意义(P<0.001)。Logistic回归分析提示工作年限与识别处理能力是负关联(OR=0.97,P<0.05),女性识别处理能力更强(OR=2.02,P<0.05),精防医务人员识别处理能力更强(OR=7.79,P<0.001)。结论:本研究提示,社区医务人员对于精神卫生知识知晓率已经达到国家规定的标准,但是部分知识点需要加强。社区医务人员对于常见精神疾病的识别处理能力需提高。Objective：To investigate mental health literacy（MHL） of community medical staffs in Beijing,and to provide data to improve MHL of community medical staffs.Methods：Totally 197 medical staffs who were not engaged in mental health work in community medical center and 131 medical staffs who were engaged in mental health work were selected.The Chinese Mental Health Knowledge Awareness Questionnaire（published by Ministry of Health） was used to investigate the awareness rate of mental health knowledge.Five vignettes of two schizophrenia,one bipolar disorder,one depression and one obsessive compulsive disorder,each with 8 related questions,were used to investigate the recognition and response ability.Results：The average awareness rate of the two groups was more than 80%（87.6%,91.6%）.For the item 2（75.6%,88.6%）,6（74.1%,62.6%）,19（36.5%,65.6%）,and 20（74.1%,86.2%）,the awareness rates were lower than 80%,and there were significant differences between the two groups（P〈0.05）.In vignettes survey,the correct rate was lower in the staffs those do not engaged in the mental health work than those in the other group（64.6%vs.75.9%,P〈0.001）.For both of the group the correct rate of depression was the lowest.There was significant difference between the total（P〈0.001）.Logistic regression analysis demonstrated that working years was negatively associated with recognition and response ability（OR= 0.97,P〈0.05）.Female was better than male（OR = 2.02,P〈0.05）.Medical staffs who were engaged in mental health work were better than ones not engaged in mental health work（OR = 2.02,P〈0.001）.Conclusion：The awareness rate of mental health knowledge has reached the national standards for community medical staffs,but they have to improve for some knowledge point.Their recognition and response ability for mental illness should be improved.

关 键 词：社区 医务人员 精神卫生 知晓度 

分 类 号：R19[医药卫生—卫生事业管理] R749.01[医药卫生—公共卫生与预防医学]