广东地区精神专科医院从业人员精神疾病相关病耻感水平和影响因素分析

Associative stigma and its influencing factors among mental health professionals in psychiatric hospitals in Guangdong

目的探究精神卫生从业人员精神疾病相关病耻感水平及其影响因素,以期为制定减轻病耻感的干预策略提供参考。方法本研究为横断面研究,选取广东地区9家精神专科医院从业人员1600名为研究对象。采用中文版精神卫生工作人员相关病耻感量表(CASS-C)评估其病耻感水平。采用线性回归方法分析其病耻感水平的影响因素。结果最终纳入研究对象1453例,CASS-C总评分为(39.71±12.04)分,不同受教育程度(F=2.719,P=0.02)、职业(F=11.993,P<0.01)、工作部门(F=17.868,P<0.01)的精神专科医院从业人员CASS-C评分差异均有统计学意义。线性回归分析显示,在住院部工作、受教育程度为大专、护士职业是相关病耻感的影响因素(β=0.097、0.092、-0.097,P均<0.05)。结论精神专科医院从业人员精神疾病相关病耻感水平较高,不同工作部门、受教育程度以及职业是相关病耻感的影响因素。

Objective To explore the associative stigma and its influencing factors in mental health professionals,and to provide reference for the formulation of related intervention strategies.Methods A cross-sectional study was conducted among 1600 mental health professionals in 9 psychiatric hospitals in Guangdong,and the associative stigma level of the selected subjects was assessed using Clinician Associative Stigma Scale-Chinese version(CASS-C),then the linear regression analysis was used to identify the factors associated with stigma in psychiatric professionals.Results A total of 1453 cases were included in the study.CASS-C score was(39.71±12.04)in total,and there were significant differences among subjects with different educational backgrounds(F=2.719,P=0.02),occupations(F=11.993,P<0.01)and working departments(F=17.868,P<0.01).Linear regression analysis showed that working in inpatient department,education level of junior college and occupying in nurses were the influencing factors of associative stigma(β=0.097,0.092,-0.097,P<0.05).Conclusion Mental health professionals in psychiatric hospitals suffer severe associative stigma,and departments,educational backgrounds and occupations are factors affecting associated stigma.