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全科医生在心理健康障碍管理方面的自我报告的信心和技能。

Self-reported confidence and skills of general practitioners in management of mental health disorders.

作者信息

Oakley Browne Mark, Lee Adeline, Prabhu Radha

机构信息

Monash University, Department of Rural and Indigenous Health, Moe, Victoria, Australia.

出版信息

Aust J Rural Health. 2007 Oct;15(5):321-6. doi: 10.1111/j.1440-1584.2007.00914.x.

Abstract

OBJECTIVE

To identify the predictors of self-reported confidence and skills of GPs in management of patients with mental health problems.

DESIGN

Cross-sectional survey, with questionnaire presented to 246 GPs working in 62 practices throughout Gippsland.

SETTING

Rural general practices in Gippsland.

PARTICIPANTS

One hundred and thirty-four GPs across Gippsland.

MAIN OUTCOME MEASURES

GPs completed a questionnaire assessing self-perception of knowledge and skills in recognition and management of common mental health problems.

RESULTS

Of 134 GPs, 45% reported that they have a specific interest in mental health, and 39% of GPs reported that they had previous mental health training. Only 22% of GPs describe having both an interest and prior training in mental health care. Age and years since graduation are not significantly related to self-reported confidence and skills.

CONCLUSIONS

The results of this study highlight that self-professed interest and prior training in mental health are associated. Self-professed interest in mental health care predicts confidence and self-perceived skills in recognition, assessment and management of common mental health disorders. Similarly, prior training in mental health care predicts confidence and self-perceived skills in recognition, assessment and management of common mental health problems. Self-professed interest in mental health issues is also associated with hours of participation in continuing medical education related to mental health care. Unfortunately, only a minority described having both interest and prior training in mental health care.

摘要

目的

确定全科医生(GP)自我报告的对心理健康问题患者管理的信心和技能的预测因素。

设计

横断面调查,向吉普斯兰地区62家诊所工作的246名全科医生发放问卷。

地点

吉普斯兰地区的农村全科诊所。

参与者

吉普斯兰地区的134名全科医生。

主要观察指标

全科医生完成一份问卷,评估其对常见心理健康问题识别和管理方面知识与技能的自我认知。

结果

在134名全科医生中,45%报告他们对心理健康有特别兴趣,39%报告他们曾接受过心理健康培训。只有22%的全科医生表示对心理健康护理既有兴趣又有过相关培训。年龄和毕业年限与自我报告的信心和技能无显著关联。

结论

本研究结果表明,自我宣称的对心理健康的兴趣和先前培训之间存在关联。自我宣称对心理健康护理感兴趣可预测在识别、评估和管理常见心理健康障碍方面的信心和自我认知技能。同样,先前的心理健康护理培训可预测在识别、评估和管理常见心理健康问题方面的信心和自我认知技能。自我宣称对心理健康问题感兴趣还与参与心理健康护理相关继续医学教育的时长有关。遗憾的是,只有少数人表示对心理健康护理既有兴趣又有过相关培训。

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