培训农村初级卫生人员开展社区精神卫生服务(四川省新津县的试点研究)

TX A Study of Training Village Ductors For Community Mental Health Services

方法：本文采用随机对照实验研究的方法对四川省新津县四个乡（镇）的７６名初级卫生保健人员进行了精神病学知识培训。对实验组的４６人除了理论培训外还进行了社区精神卫生服务实践中的示范辅导，而对照组则仅进行精神病学知识理论培训。结果：经理论培训后，初保人员精神病学知识得分（７１０４）明显高于培训前（３０３４），ｐ＜０００１。一年后随访，实验组在知识掌握程度，开展社区精神卫生服务的能力及工作质量都明显好于对照组，实验组初保人员能开展诊治精神疾病工作的比例（３０４３％）明显高于对照（６６７％），ｐ＜００５。结论：本研究结果表明：①农村初保人员经过精神病学知识理论培训及社区服务中的示范辅导多数能掌握精神病学基础知识；在上级医师的指导与监督下大部分能够开展社区精神卫生服务工作。②除多次理论培训外示范辅导也是很重要的一环。③初保人员经过示范辅导后能开展精神病人的家庭教育干预工作。④对受训人员的精神病学知识、社区精神卫生服务实际工作能力及工作质量进行综合评定能更好地反映培训的效果。

A randomized controlled trail study of training primary health worker(village doctors)for community mental health services was carried out.In trail group either the group,training of retaled psychiatric knowledge in classroom of the individual coaching in community mental health care in local rural community had been carried out and in control group,only the group training of related psychiatric knowledge in classroom had been conducted out.The results of evaluation in one year later showed that;The village doctors’scores of the psychiatric knowledge,the capability to do community mental health services and the quality of doing community mental health care was significently higher in the trail group than that in the control group.The authors think that it is very important for primary health workers to be both being traned repeadly repeadly in theoretical knowledge and be coached individually in practice.