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一项针对中国综合医院精神科医生和注册护士心理健康素养水平的调查。

A survey of psychiatrists' and registered nurses' levels of mental health literacy in a Chinese general hospital.

机构信息

Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, Carlton, Victoria, Australia.

出版信息

Int Nurs Rev. 2011 Sep;58(3):361-9. doi: 10.1111/j.1466-7657.2011.00883.x. Epub 2011 May 23.

Abstract

BACKGROUND

Mental health literacy (MHL) is the term used to describe people's knowledge and beliefs about mental disorders which aid in the recognition, management or the prevention of illness. Health professionals' levels of MHL will shape the therapeutic relationship in which they work in partnership with patients. Studies have been conducted in Australia and Singapore to determine levels of MHL among members of the general public and health professionals. To date, no such studies have been published in Chinese populations.

AIM

The study aims to compare levels of MHL between registered nurses and psychiatrists in a Chinese general hospital. The paper reports participants' diagnosis and beliefs about interventions used to manage depression and schizophrenia.

METHODS

A descriptive cross-sectional survey was undertaken among a group of psychiatrists and registered nurses in the psychiatric department of one large teaching hospital in China (n=70). Participants completed the survey by rating written vignettes related to depression and schizophrenia.

RESULTS

The psychiatrists were highly accurate in correctly diagnosing both depression and schizophrenia; the registered nurses were less so for diagnosing depression. In terms of treatment options, the two groups reached a broad agreement on beliefs about the use of mental health interventions, but differed significantly in the use of some specific mental health interventions.

CONCLUSIONS

This study provides preliminary information about levels of MHL among Chinese mental health professionals and describes their attitudes towards the helpfulness of interventions used to restore mental health and well-being. Future large-scale studies are required to identify factors that influence beliefs about the use of mental health interventions. The findings have implications for further education of registered nurses in the specialization of mental health nursing in China.

摘要

背景

心理健康素养(MHL)是一个术语,用于描述人们对精神障碍的知识和信念,这些知识和信念有助于识别、管理或预防疾病。卫生专业人员的 MHL 水平将影响他们与患者合作的治疗关系。已经在澳大利亚和新加坡进行了研究,以确定普通公众和卫生专业人员的 MHL 水平。迄今为止,尚未在中文人群中发表过此类研究。

目的

本研究旨在比较中国综合医院注册护士和精神科医生之间的 MHL 水平。本文报告了参与者对用于治疗抑郁症和精神分裂症的干预措施的诊断和信念。

方法

在中国一家大型教学医院的精神科对一组精神科医生和注册护士进行了描述性横断面调查(n=70)。参与者通过对与抑郁症和精神分裂症相关的书面案例进行评分来完成调查。

结果

精神科医生在正确诊断抑郁症和精神分裂症方面非常准确;注册护士在诊断抑郁症方面则准确性较低。在治疗选择方面,两组在对心理健康干预措施使用的看法上达成了广泛共识,但在某些特定心理健康干预措施的使用上存在显著差异。

结论

本研究提供了中国心理健康专业人员 MHL 水平的初步信息,并描述了他们对用于恢复心理健康和幸福感的干预措施的有效性的态度。需要进行大规模的未来研究,以确定影响对心理健康干预措施使用的信念的因素。研究结果对中国注册护士在精神卫生护理专业领域的进一步教育具有启示意义。

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