评估儿科医生在儿童精神病学方面的培训需求。
Assessment of pediatricians' need for training in child psychiatry.
作者信息
Al-Osaimi Fahad D, Al-Haidar Fatima A
机构信息
Department of Psychiatry, King Khalid University Hospital, Riyadh, Saudi Arabia.
出版信息
J Family Community Med. 2008 May;15(2):71-5.
BACKGROUND
Psychosocial problems are common health concerns in children. Therefore, it is essential for pediatricians to be able to identify psychiatric disorders. This depends on the knowledge, practice and attitudes towards psychiatric disorders in childhood.
METHODS
A constructed questionnaire of items about knowledge, practice and attitudes of pediatricians toward psychiatric disorders in childhood was used. Four hundred and fifty questionnaires were distributed and collected from pediatricians in seven main governmental hospitals in Riyadh over a period of three months (between March 1 and May 30 2005). Findings were analyzed statistically.
RESULTS
About 88.8% of the samples had not had any training in child psychiatry during their residency. Forty-eight percent were hesitant in diagnosing psychiatric disorders in children, 76.5% were not confident enough to treat these children, 48.5% were not confident enough to follow them up after being managed by a child psychiatrist and 49.9% were not confident to treat common side effects of psychotropic medications. About 88.8% of the pediatricians thought that pediatricians needed training in child psychiatry during pediatric residency programs.
CONCLUSION
A significant number of pediatricians reported a lack of training in child psychiatry during residency programs. This has an adverse impact on their knowledge, attitudes and possibly practices in dealing with childhood psychiatric disorders.
背景
心理社会问题是儿童常见的健康问题。因此，儿科医生能够识别精神疾病至关重要。这取决于对儿童期精神疾病的知识、实践和态度。
方法
使用一份关于儿科医生对儿童期精神疾病的知识、实践和态度的结构化问卷。在三个月的时间里（2005年3月1日至5月30日），从利雅得七家主要政府医院的儿科医生那里分发并收集了450份问卷。对结果进行了统计分析。
结果
约88.8%的样本在住院医师培训期间没有接受过儿童精神病学方面的任何培训。48%的人在诊断儿童精神疾病时犹豫不决，76.5%的人对治疗这些儿童没有足够的信心，48.5%的人在由儿童精神科医生治疗后对随访这些儿童没有足够的信心，49.9%的人对治疗精神药物的常见副作用没有信心。约88.8%的儿科医生认为儿科医生在儿科住院医师培训项目中需要接受儿童精神病学方面的培训。
结论
相当数量的儿科医生报告在住院医师培训项目中缺乏儿童精神病学方面的培训。这对他们在处理儿童精神疾病方面的知识、态度以及可能的实践产生了不利影响。
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