乡镇卫生院医务人员对精神疾病态度的调查

Survey on attitudes to mental illness of medical personnel in tow nship hospitals

目的:了解广西壮族自治区乡镇卫生院医务人员对精神疾病态度现状及相关因素。方法:于2018年1-6月,采取分层整群随机抽样方法抽取广西45所乡镇卫生院888名医务人员,调查其对精神疾病的态度。调查工具采用原卫生部办公厅下发的《精神疾病态度问卷》。采用多元线性回归法分析医务人员对精神疾病态度的相关因素。结果:34.1%的医务人员对精神疾病持负性态度。本科及以上者和副高职称者的负性态度比例较低(P<0.05);医生的负性态度比例较低,护士则较高(P<0.05);参加精神卫生服务培训者负性态度比例低于未参加者(P<0.05)。多元线性回归显示,知识得分高、医生和参与培训的乡镇医务人员的态度得分较高;护士的态度得分较低。结论:部分乡镇卫生院医务人员对精神疾病及患者存在歧视。护士对精神疾病的态度比医生较负面。提高医务人员的精神卫生知识水平有助于改善其对精神疾病及患者的歧视态度。

Objective:To understand the attitude to mental ilness and its related foctors in medical personnel in township hospitals in Guangxi Zhuang Autonomous Region.Method:By stratified cluster randomization method,888 medical personnel from 45 township hospitals in Guangxi were investigated from January to June,2018.Respondents were investigated with the Mental Illness Attitude Questionnaire issued by the former General Office of the Ministry of Health.Multiple linear regression methods were used to analyze the related factors of atti-tude to mental ilness of the respondents.Results:In this sample,34.1%of the respondents held a negative attitude to mental ilness.The proportions of negative attitudes among those with bachelor degree and above and those with deputy senior titles were lower(P<0.05).The proportion of negative attitudes was lowerin doctors than in nurses(P<0.05).The proportion of negative attitudes was lower in those who participated in mental health service train-ing than those who did not participate the training(P<0.05).Multiple linear regression showed that the attitude scores were higher in those with high knowledge score,doctors and those participating in training,while lower in nurses.Conclusion:It suggests that some medical personnel in township hospitals discriminate against mental illness and patients,especially in nurses.Knowledge training on mental health may be helpful to improve attitude of health personnel on mental illness.