【摘要】 目的 了解城区一级医疗机构(社区卫生服务中心)中医务人员的精神卫生知识水平,为在一级医疗机构中设置心理咨询专科作可行性的研究。方法 选取三所社区卫生服务中心(其中A院已经设立心理咨询专科6年;B、C院未设,但B院曾协助市精神卫生中心进行专项调研)在岗医务人员进行随机独立问卷调查,内容主要以患者向医务人员提出需了解的精神卫生知识,常见精神疾病的诊断和处理原则。以多选题和是非题的形式解答,解答对象不记名,但记录从医年限、职称、专业科室、精神卫生知识是接受培训还是自学获得。对问卷按掌握、基本掌握、熟悉、了解、基本不了解分成五类。结果A院中医务人员掌握、基本掌握和熟悉精神卫生知识的占81.39％,了解占9.30％,基本不了解仅2.33％。B院中掌握、基本掌握和熟悉精神卫生知识的占32.00％,了解占38.00％,基本不了解30.00％。C院掌握、基本掌握和熟悉精神卫生知识的占8.89％,了解占44.44％,基本不了解46.67％;但已经开设心理咨询专科门诊A院的高、中级人员都达到基本掌握和熟悉程度。工作年限、专业与掌握和了解精神卫生知识无显著关系。结论 在社区卫生服务中心设置心理咨询专科门诊服务是切实可行的,对充实一级医疗机构中医务人员的业务知识结构,完善社区卫生服务中心的功能有明显作用?更多还原

【Abstract】 Objectives: To understand metnal health knowledge level of medical professionals in urban primary medical settings (community health service centers) and to investigate the feasibility of startup psychological consultation service in urban orimary medical settings. Method: On duty medical professionals in three community health service centers (hosptal A had psychological consultation service for 6 years. Hospitals B and C did not have such services. Hospital B had provided assistance to Shanghai Mental Health Center to conduct specific study) were selected randomly to conduct the questionnire independently. The content of questionnaire included questions proposed by patient for medical professionals to give an-sweres, including questions about mental health knowledge, diagnosis and treatment of common mental illness. The answers were provided in the form of multiple choices and true and false selection. The respondents were kept anonymous while other items were recorded, including years of practicing, professional titles, specialties and channels of acquiring mental health knowledge as to whether through training or through self-tought. The results were categorized into 5 segments; proficient, basically proficient, familiar, less proficient and basically unproficients. Results:In hospital A. the percentage for the above. 5 segments were 81. 39% for the first 3 segments, 9. 30% for the familiar segment, and 2. 33% for the basically unproficient segment. In hospital B, the percentage for the above 5 segments were 32. 00%for the first 3 segments, 38. 00%for the familiar segment,and 30. 00%for the basically unproficient segments. In hospital C,the percentage for the above 5 segments were 8. 89%for the first 3 segments,44. 44%for the familiar segment, and46. 67%for the basically unproficient segment. Among the basically unproficient segment, professionals with middle and high professional titles accounted for 8. 11% , with middle professional titles accounted for 27. 02% and with primary professional titles accounted for 64. 87%, however, in hospital A, where psychological consultation service had been setup, all professionals with middle and high professional titles were at basically proficient and familiar levels. Years of practicing and specialties were not correlated to the mental health knowledge level. Conclusion: It is feasible to sep up psychological consultation service in community health service centers. The setup has significant impact on enrichment of structure of professional knowledge of medical professinals in primary medical settings and on perfection of function of community health service centers.更多还原