首页|长沙市多地区医院非精神科护士精神卫生知识与态度调查分析

长沙市多地区医院非精神科护士精神卫生知识与态度调查分析

Survey and Analysis of Mental Health Knowledge and Attitudes Among Non-Psychiatric Nurses in Multiple Regions of Hospitals in Changsha City

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目的:调查长沙市多地区医院非精神科护士精神卫生知识知晓程度和对精神疾病患者态度,探讨其影响因素.方法:采用一般资料问卷、精神卫生知识问卷、歧视精神疾病患者评估量表对569名非精神科护士进行系统的数据收集与分析,采用Pearson法分析非精神科护士的精神卫生知识得分与歧视及其三个维度得分的相关性,使用多因素logistics回归分析非精神科护士精神卫生知识、歧视态度的影响因素.结果:569例非精神科护士的精神卫生知识总正确率为84.6%,总分为(16.9±2.5)分.非精神科护士对精神患者的歧视得分总分为(61.2±10.6)分,其中,隔离维度的歧视得分(31.9±5.1)分,能力维度得分(11.3±2.2)分.发生过逃跑事件(OR=1.632,95%CI:1.086~2.451)、管理者对患者的精神状态进行定期督促检查(OR=2.153,95%CI:1.317~5.681)、人事状态为正式在编(OR=2.671,95%CI:1.341~5.319)和聘用制(OR=2.747,95%CI:1.351~5.590)是非精神科护士的精神卫生知识得分高低的影响因素(P<0.05).性别(OR=1.118,95%CI:1.118~5.760)、工作年限(OR=1.484,95%CI:1.065~2.069)、发生过毁物事件(OR=0.611,95%CI:0.430~0.870)、精神卫生知识得分(OR=0.518,95%CI:0.368~0.727)是非精神科护士的精神卫生歧视得分的影响因素.结论:长沙市多地区医院非精神科护士对精神卫生知识知晓率(即正确率)符合政策要求的知晓率,非精神科护士对精神患者持歧视态度,但缺乏必要的同理心和支持态度,需要采取措施进一步改善.
Objective To assess the knowledge level of non-psychiatric nurses regarding mental health and their attitudes towards patients with mental illnesses in multiple regions of hospitals in Changsha,and to investigate the influencing factors.Method A systematic data collection and analysis were conducted on 569 non psychiatric nurses using general information questionnaires,mental health knowledge questionnaires,and discrimination assessment scales for mental illness patients.The Pearson method was used to analyze the correlation between mental health knowledge scores and discrimination among non psychiatric nurses,as well as their three dimensional scores.Multivariate logistic regression was used to analyze the influenc-ing factors of mental health knowledge and discrimination attitudes among non psychiatric nurses Results Among 569 non-psychiatric nurses,the overall accuracy rate for mental health knowledge was 84.6%,with an average score of(16.9±2.5).The non-psychiatric nurses'total score for discrimination against psychiatric patients was(61.2±10.6),with scores of(31.9±5.1)in the isolation dimension and(11.3±2.2)in the ability dimension.Factors influencing the mental health knowledge scores of non-psychiatric nurses included the occurrence of escape incidents(OR=1.632,95%CI:1.086-2.451),regular supervi-sory reviews of patients'mental states by managers(OR=2.153,95%CI:1.317-5.681),formal personnel status(OR=2.671,95%CI:1.341-5.319),and employment system(OR=2.747,95%CI:1.351-5.590)(P<0.05).Factors influencing the mental health discrimination scores of non-psychiatric nurses included gender(OR=1.118,95%CI:1.118-5.760),years of service(OR=1.484,95%CI:1.065-2.069),history of vandalism incidents(OR=0.611,95%CI:0.430-0.870),and mental health knowledge scores(OR=0.518,95%CI:0.368-0.727).Conclusion The awareness rate(i.e.accuracy rate)of non-psychiatric nurses in multiple regions of hospitals in Changsha City regarding mental health knowledge meets policy requirements,Non-psychiatric nurses exhibit discriminatory attitudes towards mental patients and lack the necessary empathy and supportive at-titude.

non-psychiatric nursesmental health knowledgemental illness patientsattitude

欧阳碧聪、李乐之、胡香香、戴进军、李梅枝、朱娥

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湖南中医药大学,长沙 410208

中南大学湘雅二医院,长沙 410012

湖南省脑科医院/湖南省第二人民医院,长沙 410021

非精神科护士 精神卫生知识 精神疾病患者 态度

湖南省卫生健康委一般指导课题

D202314057443

2024

湖南师范大学学报(医学版)
湖南师范大学

湖南师范大学学报(医学版)

CSTPCD
影响因子:1.389
ISSN:1673-016X
年,卷(期):2024.21(4)