社区心理卫生服务人员心理疾病识别能力分析

Ability to recognize common mental disease among community mental health staff

目的了解社区心理卫生服务人员对常见心理疾病的识别能力。方法采用随机整群抽样方法,抽取北京市朝阳区、哈尔滨市南岗区和克拉玛依市克拉玛依区的165名心理卫生服务人员进行问卷调查。结果北京市朝阳区心理卫生服务人员对抑郁症的正确识别率为79.6%(39/49),高于克拉玛依市的43.6%(24/55)和哈尔滨市的60.7%(37/61),差异均有统计学意义(P<0.05);对焦虑症的正确识别率为77.6%(38/49),高于克拉玛依市的25.5%(14/55)和哈尔滨市的16.4%(10/61),差异均有统计学意义(P<0.001);对精神分裂症的正确识别率为93.9%(46/49),高于哈尔滨市的50.8%(31/61)和克拉玛依市的43.6%(24/55),差异均有统计学意义(P<0.001);对躁狂症的正确识别率为77.6%(38/49),高于哈尔滨市的45.9%(28/61)和克拉玛依市的47.3%(26/55),差异均有统计学意义(P<0.001);对强迫症的正确识别率北京市为98.0%(48/49),哈尔滨市为47.5%(29/61),克拉玛依市为65.5%(36/55),差异均有统计学意义(P<0.05)。结论 3个地区社区心理卫生服务人员对心理疾病的识别能力有待提高,应进一步提高服务人员的理论知识和业务水平。

Objective To examine community mental health staff＇s ability to recognize common mental diseases. Methods Totally 165 mental health staff from 3 community health service institutions （CHSI）in Karamay, Harbin and Beijing city were investigated with a questionnaire. Results The correct recognition rate of depression was 79. 6% for the staff in Beijing, higher than that of in Harbin （ 60. 7% ） （X2 = 8. 529, P 〈 0. 012 5 ） and Karamay （ 43.6% ） （X2 = 27. 395,P 〈 0.001 ）. The correct recognition rate of anxiety was 77. 6% for the staff in Beijing, higher than that of in Harbin （ 16. 4 % ） （X2 = 75. 179, P 〈 0. 000 1 ） and Karamay （ 25.5 % ） （X2 = 54. 34, P 〈 0. 000 1 ）. The correct recogni- tion rate of schizophrenia was 93.9% for the staff in Beijing, higher than that of in Harbin （50. 8% ） （X2 = 46. 429, P 〈0. 000 1 ） and Karamay（43.6% ） （X2 = 58. 882 ,P 〈 0. 000 1 ）. The correct recognition rate of mania was 77. 6% for the staff in Beijing, higher than that in Harbin （45.9%） （X2 = 21. 273, P 〈 0. 000 1 ）and Karamay（47.3 % ） （X2 = 19. 576, P 〈0. 000 1 ）. There were significant differences in correct recognitition rate of obsession among the staff in Beijing （98.0%）, Karamay （65.5 % ）, and Harbin （47.5 % ） （ P 〈 0.05 for all）. Conclusion The cognition of the community mental health service staff for the common mental disease is not good, suggesting further effective strategies should be taken to improve professional skill of the community mental health staff.