Cleary Michelle, Siegfried Nandi, Walter Garry
Central Sydney Area Mental Health Service (CSAMHS), PO Box 1, Rozelle, NSW 2039, Australia.
Int J Ment Health Nurs. 2002 Sep;11(3):186-91. doi: 10.1046/j.1440-0979.2002.00246.x.
A survey of mental health staff experience, knowledge and attitudes regarding the management of clients with a diagnosis of borderline personality disorder (BPD) aimed to obtain baseline data to provide direction for developing planned education and determining staff willingness to participate in such training. A 23-item questionnaire was developed and posted to mental health staff in a public Area Mental Health Service in New South Wales (n = 516). A total of 229 staff completed the questionnaire. Most staff (85%) reported having contact with clients who have a diagnosis of BPD at least once a month or more frequently, with 32% of respondents reporting daily contact. Eighty per cent of respondents found dealing with clients who have a BPD to be moderate to very difficult; 84% of staff felt that dealing with this client group was more difficult than dealing with other client groups. Most staff (82%) believed that, as mental health professionals, they had a role in the assessment, management and referral of clients with BPD, as well as in educating and providing information. Staff readily identified resources which would be helpful to them when working with such clients. It was encouraging to see that the majority of staff (95%) indicated their willingness to gain further education and training in the management of these clients. Although many staff believed they were knowledgeable about and confident in managing these clients, most staff also indicated difficulties posed by these clients and perceived a need for further education and training in this area.
一项关于心理健康工作人员对诊断为边缘型人格障碍（BPD）患者管理的经验、知识和态度的调查，旨在获取基线数据，为制定计划中的教育提供方向，并确定工作人员参与此类培训的意愿。一份包含23个条目的问卷被编制出来，并分发给新南威尔士州一个公共区域心理健康服务机构的心理健康工作人员（n = 516）。共有229名工作人员完成了问卷。大多数工作人员（85%）报告称，每月至少与诊断为BPD的患者接触一次或更频繁，32%的受访者表示每天都有接触。80%的受访者发现与患有BPD的患者打交道为中度中度中度困难程度为中等至非常困难；84%的工作人员认为与这个患者群体打交道比与其他患者群体更困难。大多数工作人员（82%）认为，作为心理健康专业人员，他们在BPD患者的评估、管理和转诊以及教育和提供信息方面发挥作用。工作人员能够轻松识别出在与这类患者合作时对他们有帮助的资源。令人鼓舞的是，大多数工作人员（95%）表示愿意接受关于管理这些患者的进一步教育和培训。尽管许多工作人员认为他们对管理这些患者有一定了解并充满信心，但大多数工作人员也指出了这些患者带来的困难，并意识到在这一领域需要进一步的教育和培训。
