对口帮扶指导培训对保定市2013及2016年乡级医院医务人员精神卫生知识知晓率变化趋势的影响

The Impact of Counterpart-assistance Guidance Training on the Change Trend of the Awareness Rate of Mental Health Related Knowledge Among the Medical Staff of Township Hospitals in Baoding City,in 2013 and 2016

目的：比较保定市2013年及2016年乡级医院医务人员精神卫生知识知晓率变化,分析对口帮扶指导培训对提高乡级医务人员精神卫生知晓率的作用,为进一步探索对基层医务人员的培训方式提供依据。方法：对保定市基层医疗机构开展对口帮扶指导工作,并分别以2013年（对口帮扶指导培训开始前）及2016年进行集中培训的乡级医院医务人员为调查样本,采用卫生部办公厅精神卫生工作指标调查评估方案制定的心理健康知识和精神疾病预防知识知晓率调查问卷进行调查,并进行趋势分析。结果：2013年完成调查467例,2016年为938例。2016年精神卫生知识知晓率高于2013年（χ~2=6.03,P〈0.05）。但条目＂几乎任何年龄阶段的人都有可能出现心理问题＂、＂乐观开朗的生活态度、良好的人际关系和健康的生活习惯有助于我们保持心理健康＂、＂中老年人出现心理问题和精神疾病的可能性很小＂知晓率低于2013年（χ~2=27.27,4.96,15.71;P〈0.05）。结论：开展对口帮扶指导培训,对保定市乡级医院医务人员精神卫生知识知晓率变化趋势有明显影响,但仍需有针对性加大培训力度。

Objective：To compare on the change of awareness rate of mental health related knowledge among the medical staff of township hospitals in Baoding city in 2013 and 2016,to analysis of the function that counterpart-assistance guidance training displayed in improving the awareness rate among medical staff of township hospitals,to provide evidence for further exploring the training methods for medical staff at the basic level.Methods：We carried out the work of counterpart-assistance guidance for medical staff at the basic level in Baoding city,selected the medical staff of township hospitals who had participated in concentrated training in 2013（before the start of counter-part-assistance guidance training）and 2016 as survey respondents,and conducted an investigation by the questionnaire on awareness rate of mental health and mental disease prevention knowledge that formulated by general office of the ministry of health,mental health work index evaluation methods for the investigation,and further analyzed the tendency.Results：The number of completed surveys was 467 in 2013,and 938 in 2016.The awareness rate of mental health knowledge was higher in 2016 than that in the year of 2013（χ~2=6.03,P〈0.05）.But,of the following items,such as＂people of almost any age are likely to have psychological problems＂,＂optimistic and cheerful attitude towards life,good interpersonal relationships and healthy habits help us to maintain mental health＂,＂the possibility of psychological problems and mental illness is very small in the elderly＂,the awareness rate was lower in 2016 than that in 2013（χ~2=27.27,4.96,15.71;P〈0.05）.Conclusion：Counterpart-assistance guidance training has a significant impact on the change trend of the awareness rate of mental health related knowledge among the medical staff of township hospitals in Baoding city,however,increasing the intensity of training is still needed.