Wang Yang, Wang Xiaohua, Zhang Weijun, Liang Xiaoyun, Tian Donghua, Qu Zhiyong
School of Social Work, University of Illinois at Urbana-Champaign, 1010 W Nevada St, Champaign, 61801, IL, USA.
School of Social Development and Public Policy, China Institute of Health and Center for Behavioral Health, Beijing Normal University, No. 19, XinJieKouWai St, Beijing, 100875, China.
BMC Psychiatry. 2017 Feb 8;17(1):62. doi: 10.1186/s12888-017-1215-4.
Attitude towards psychiatric patients among healthcare workers has an impact on quality of medical care and rehabilitation of patients. In China, primary healthcare workers play an important role in mental health care, but little is known about the attitude of them towards psychiatric patients. This study aims to examine the risk factors associated with stigma among primary healthcare workers in West China.
This cross-sectional study randomly recruited 395 primary healthcare workers in Mianzhu County, China. Data were collected via self-reported questionnaires. Descriptive analyses, bivariate analyses, and hierarchical linear regressions were performed by SPSS 17.0 to test the factors that accounted for the variation of stigma towards psychiatric patients.
Several risk factors were confirmed, including the satisfaction of income, work experience in psychiatric/ psychological departments, rehabilitation of patients, contact quality, and the attitude of mass media. However, demographic factors, the rest of work-related factors, and contact frequency might not be related with primary healthcare workers' attitude towards psychiatric patients.
The findings suggested that the quality of contact between primary healthcare workers and psychiatric patients be enhanced in order to decrease the stigma of healthcare staff. On-the-job training and institutional medical education needs a further exploration and development.
医护人员对精神科患者的态度会影响医疗质量和患者康复。在中国，基层医护人员在精神卫生保健中发挥着重要作用，但对他们对精神科患者的态度了解甚少。本研究旨在探讨中国西部基层医护人员中与污名化相关的风险因素。
这项横断面研究在中国绵竹县随机招募了395名基层医护人员。通过自填问卷收集数据。使用SPSS 17.0进行描述性分析、双变量分析和分层线性回归，以检验导致对精神科患者污名化差异的因素。
确定了几个风险因素，包括收入满意度、在精神科/心理科的工作经验、患者康复情况、接触质量和大众媒体的态度。然而，人口统计学因素、其他工作相关因素以及接触频率可能与基层医护人员对精神科患者的态度无关。
研究结果表明，应加强基层医护人员与精神科患者之间的接触质量，以减少医护人员的污名化。在职培训和机构医学教育需要进一步探索和发展。
