医联体背景下北京市C区社区医务人员精神卫生知识与培训需求调查  

A survey of mental health knowledge and training demands of community medical staff in C district of Beijing under the background of medical treatment partnership system

作　　者：徐会利 周雅婷 邓明 辛园园 马良[3] 朱庆生 徐唯 张旋 张柠 XU Hui-li;ZHOU Ya-ting;DENG Ming;XIN Yuan-yuan;MA Liang;ZHU Qing-sheng;XU Wei;ZHANG Xuan;ZHANG Ning(The mental disease control and prevention center of Chaoyang District,Beijing 100101,China)

机构地区：[1]北京市朝阳区精神疾病预防控制中心,北京100101 [2]首都医科大学公共卫生学院,北京100069 [3]北京市朝阳区第三医院,北京100121

出　　处：《中华全科医学》2020年第2期265-268,317,共5页Chinese Journal of General Practice

基　　金：教育部人文社科规划项目(16YJAZH076);北京市朝阳区科技计划项目(CYSF1715)。

摘　　要：目的了解在C区精神卫生医联体建立后,社区医务人员精神卫生知识的掌握程度,分析医务人员的培训需求,为进一步提高社区医务人员精神卫生服务能力提供决策参考。方法对北京市C区37个社区的575位医务人员进行问卷调查,对社区医务人员精神卫生知识掌握程度和培训需求开展描述统计分析,采用方差分析和χ^2检验比较分析不同特征人群知识掌握程度等变量差异,采用二项logistic回归模型分析社区医务人员对社区提供精神卫生服务认知差异的影响因素。结果社区医务人员精神卫生知识平均知晓率为87.5%,不同岗位医务人员精神卫生知识得分存在差异,且差异具有统计学意义(F=8.220,P<0.001),预防保健人员精神卫生知识知晓率最高(90.1%),护理人员知晓率最低(83.2%);82.8%的被调查者认为精神卫生知识培训有帮助;社区医务人员对精神卫生知识培训需求有差异(χ^2=185.074,P<0.001),被调查者对精神疾病识别和诊断内容的培训需求最高;86.0%的被调查者认为社区有必要开展精神卫生诊疗服务,工作岗位影响社区医务人员对社区提供精神卫生服务的认知(χ^2=10.416,P=0.015)。结论为进一步发挥社区在精神卫生服务体系建设中的作用,需针对社区不同岗位医务人员设定个性化培养方案,通过培训提高社区不同岗位医务人员提供精神卫生服务的意识和能力。Objective To understand the level of mental health knowledge of community medical staff after the establishment of Medical Treatment Partnership System(MTPS) in C district of Beijing, analyze the training demands of medical staff, and provide decision reference for improving the mental health service ability of community medical staff. Methods A total of 575 community medical staff in 37 communities of C district in Beijing were participated in the questionnaire survey, the descriptive statistical analysis was used to describe the mastery degree of mental health and training demands of community medical staff. The analysis of variance and chi-square test were used to compare the relative variables of different characteristic population, and binary logistic regression model was used to analyze the factors influencing the cognitive differences of community medical staff in providing mental health services in the community. Results The average mental health awareness rate is 87.5%. There are significant differences in the degree of mental health knowledge among the medical staff in different posts(F=8.220, P<0.001), and the scores of the preventive health care workers were the highest(90.1%), the lowest was nurses(83.2%). The 82.8% respondents thought that the training were helpful for them, the demands for training content of community medical staff were different(χ^2=185.074, P<0.001). The demands for identification and diagnosis of mental illness knowledge was ranked on the top. The 86.0% respondents believed it is necessary to provide mental health services in community. The work position was the influencing factor of the knowledge on mental health service supply(χ^2=10.416, P=0.015). Conclusion In order to further play the role of community in the construction of mental health service system, it is necessary to set up individualized training project for different positions of medical staff in the community, and improve their awareness and ability to provide mental health services through training.

关 键 词：社区卫生服务中心 医务人员 精神卫生 知晓率 培训需求 

分 类 号：R192[医药卫生—卫生事业管理] R197.61[医药卫生—公共卫生与预防医学]