Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai Clinical Research Center for Mental Health, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China.
Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
J Psychiatr Ment Health Nurs. 2023 Dec;30(6):1216-1230. doi: 10.1111/jpm.12950. Epub 2023 Jul 4.
Family-focused practice has become an emerging paradigm in mental health services. However, little is known about family-focused practice and associated factors in Chinese mental health workers.
To examine family-focused practice and associated factors in Chinese mental health workers.
A cross-sectional survey was conducted in a convenience sample of mental health workers (n = 515) in Beijing, China. The Family-Focused Mental Health Practice Questionnaire was used to measure family-focused practice, as well as worker, workplace and client factors that might influence family-focused practice. Multiple linear regression analysis was performed to investigate the factors associated with family-focused practice.
On average, the participants exhibited a moderate level of engagement in family-focused practice. The factors that most significantly influenced family-focused practice in Chinese mental health workers were skill and knowledge, worker confidence and time and workload. Moreover, psychiatrists were found to engage more in family-focused practice than psychiatric nurses, and community mental health workers were more active in family-focused practice than hospital-based ones.
This study provided important data concerning family-focused practice and associated factors in Chinese mental health workers.
The varying level of Chinese mental health workers to engage in family-focused practice has advocacy, training, research and organizational implications for mental health services in China and elsewhere.
以家庭为中心的实践在精神卫生服务中已成为一种新兴模式。然而，对于中国精神卫生工作者的以家庭为中心的实践及其相关因素知之甚少。
调查中国精神卫生工作者的以家庭为中心的实践及其相关因素。
在中国北京，采用便利抽样法对精神卫生工作者（n=515）进行横断面调查。使用以家庭为中心的精神卫生实践问卷来衡量以家庭为中心的实践，以及可能影响以家庭为中心的实践的工作者、工作场所和客户因素。采用多元线性回归分析来调查与以家庭为中心的实践相关的因素。
平均而言，参与者在以家庭为中心的实践中表现出中等程度的参与度。对中国精神卫生工作者以家庭为中心的实践影响最大的因素是技能和知识、工作者的信心以及时间和工作量。此外，精神科医生比精神科护士更倾向于以家庭为中心的实践，社区精神卫生工作者比医院精神卫生工作者更积极地参与以家庭为中心的实践。
本研究提供了有关中国精神卫生工作者以家庭为中心的实践及其相关因素的重要数据。
中国精神卫生工作者以家庭为中心的实践程度各不相同，这对中国和其他国家的精神卫生服务具有倡导、培训、研究和组织方面的意义。
