Universidade Federal de Mato Grosso. Faculdade de Enfermagem. Cuiabá, MT, Brasil.
Universidade Federal de Mato Grosso. Faculdade de Enfermagem - Campus Sinop. Sinop, MT, Brasil.
Rev Saude Publica. 2022 Jun 13;56:54. doi: 10.11606/s1518-8787.2022056003320. eCollection 2022.
To evaluate the effect of an educational intervention on the attitudes of primary healthcare providers regarding patients with suicidal behavior.
Clinical trial randomized by clusters, with a sample of 261 healthcare professionals, from 22 health units selected by stratified sampling, were chosen and randomly allocated, by drawing, into two groups: intervention (n = 87) and control (n = 174). The participants of the intervention group were exposed to a 20-hour training on suicidal behavior. All 261 participants were evaluated before and after the intervention; the groups were compared to evaluate their attitude towards suicidal behavior using the Suicide Behavior Attitude Questionnaire (SBAQ), an evaluation made by comparison of the means via t-Student test, for independent samples, and paired t-test, for dependent samples.
The intervention group, in comparison to their evaluation before and after training, as well as in the comparison with the evaluation of the control group, showed statistically significant differences in attitudes towards suicidal behavior, according to the differences presented in the scores for the domains: "perception of professional capacity," in all four items; "negative feeling," in six of the seven items; and in the "right to commit suicide" domain, in three of the five items.
The brief training developed in primary health care was effective to improve the attitudes of the participants who were part of the intervention group regarding patients with suicidal behavior.
评估一项教育干预对基层医疗保健提供者对待有自杀行为患者态度的影响。
采用整群随机临床试验设计,对 22 个通过分层抽样选取的卫生单位的 261 名医疗保健专业人员进行抽样,通过抽签将他们随机分配到干预组(n=87)和对照组(n=174)。干预组的参与者接受了 20 小时的自杀行为培训。所有 261 名参与者在干预前后都接受了评估;通过 t 检验比较独立样本的均值和配对 t 检验比较依存样本的均值,来评估两组对自杀行为的态度,使用自杀行为态度问卷(SBAQ)进行评估。
与培训前后的评估相比,以及与对照组的评估相比,干预组在自杀行为态度的各个领域都表现出显著差异,包括:“对专业能力的认知”这一领域的四个项目;“负面感受”这一领域的七个项目中的六个项目;以及“自杀权”这一领域的五个项目中的三个项目。
在基层医疗保健中开展的简短培训能够有效改善干预组参与者对有自杀行为患者的态度。