【摘要】 目的了解我国精神科医生对精神障碍患者及其处置政策的态度,以及卫生部"重性精神疾病防治师资培训"项目对精神科医生上述态度的影响情况。方法使用自制的"精神卫生相关知识"问卷对157名参加卫生部"重性精神疾病防治师资培训"的精神科医生在培训前后进行调查。结果34.4%的精神科医生认同"精神分裂症难以治愈"。培训后上述认同率均有下降,但培训前后认同率差异无显著性(P>0.05)。超过80%的医生认同"精神病人接受治疗前应签署知情同意书",且培训后认同率仍有明显增加(P<0.05)。"精神病人应以自愿开放治疗方式为主"和"精神病人有权拒绝治疗"培训前医生的认同率分别为40.8%和26.1%,培训后显著提高到75.2%和68.1%(P<0.01)。超过50%的精神科医生认同"精神病人具有暴力倾向";超过80%的医生认同"无责任能力精神病罪犯应由国家监禁治疗";不到40%的医生认同"精神病人犯罪可以免除刑事责任"。结论精神科医生一方面赞同要尊重精神障碍者的自决权,如治疗前要签署知情同意,另一方面对于有危险行为或司法精神障碍者,则主张使用更严格的处置措施,因此对精神障碍者的自愿开放治疗尚认识不足。卫生部培训班可以影响精神科医生对精神卫生处置政策的态度。更多还原

【Abstract】 Objective To investigate Chinese psychiatrists’ attitude to mentally ill person and their disposing policies,and the impact on the physician’s attitude of the workshop.Method A self-developed questionnaire was used to investigate 157 psychiatrists who show in a workshop supported by Chinese minister of health.Results More than 80% of psychiatrists agreed"the mentally ill persons have to sign the informed consent before receiving treatment".34.4% of psychiatrists agreed"schizophrenia is untreatable".40.8% and 26.1% of psychiatrists agreed "the mentally ill person should be treated voluntarily",and "the patients with mental disorder can refuse to receive any treatment" respectively before the workshop,which increased significantly to 75.2% and 68.1% respectively after the workshop.More than 50% of psychiatrists agreed "the mentally ill person is violent".More than 80% of psychiatrists also agreed "Custody treatment could be used for the forensic patients with no criminal responsibility by the government" and less than 40% of psychiatrists agreed "the criminal with mental disorder should be exempt from guilt".Conclusion the Chinese psychiatrist agreed that mental health professionals must respect the patients’ right of self-determination,such as informed consent,but in other hand they also think more strict measures should be taken for the forensic or violent patients.The workshop has some impact on the psychiatrists’attitude of the psychiatric disposing policies.更多还原