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

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Abstract 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 influencing 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 supervisory 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 attitude.

Key words： non-psychiatric nurses mental health knowledge mental illness patients attitude

Received: 26 March 2024

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	Articles by authors
	OUYANG Bicong
	LI Lezhi
	HU Xiangxiang
	DAI Jinjun
	LI Meizhi
	ZHU E

Cite this article:

OUYANG Bicong,LI Lezhi,HU Xiangxiang等. Survey and Analysis of Mental Health Knowledge and Attitudes Among Non-Psychiatric Nurses in Multiple Regions of Hospitals in Changsha City[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(4): 193-199.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I4/193

[1] 中华人民共和国卫生部. 关于印发《全国精神卫生工作体系发展指导纲要 (2008年~2015年) 》的通知-卫疾控发[2008]5[EB/OL].[2008-02-02]. https://www.gov.cn/gzdt/2008-02/02/content_879701.htm
[2] WHO. 世界精神卫生报告: 向所有人享有精神卫生服务转型[EB/OL].[2022-06-16]. https://www.who.int/zh/publications/i/item/9789240050860
[3] 张仕怡. 住院精神分裂症患者共病躯体疾病的临床回顾性分析[D]. 桂林: 桂林医学院, 2022.
[4] 谢瑜. 精神分裂症患者躯体共病对生活质量的影响: 抑郁和焦虑的中介作用[D]. 沈阳: 中国医科大学, 2023.
[5] 孙渊博, 祝扬, 李丁, 等. 某综合医院住院患者精神障碍患病率、识别率及危险因素调查分析[J]. 中国现代医学杂志, 2018, 28(04): 68-75.
[6] 杨伟, 王颖, 李汶嘉, 等. 综合医院非精神科患者心理障碍诊断情况分析[J]. 中国医药, 2021, 16(07): 1038-1042.
[7] 中华人民共和国卫生部. 精神卫生宣传教育核心信息和知识要点[J]. 中国学校卫生, 2007(10): 4-5.
[8] 曾庆枝, 何燕玲, 田泓, 等. 歧视精神疾病患者评估量表的制订[J]. 上海精神医学, 2009, 21(4) 217-220.
[9] 赵林, 方慧, 王文文, 等. 重庆市C县医务人员精神卫生知识及对精神疾病态度的调查[J]. 中国卫生标准管理, 2023, 14(14): 82-86.
[10] 黄河, 李淑兰, 王志忠. 宁夏基层医务人员精神卫生知识调查[J]. 宁夏医科大学学报, 2018, 40(11): 1293-1296.
[11] 胡旻. 大理州州属医院医务人员与患者家属精神健康素养对照研究[D]. 大理: 大理大学, 2017.
[12] TYERMAN J, PATOVIRTA AL, CELESTINI A.How Stigma and Discrimination Influences Nursing Care of Persons Diagnosed with Mental Illness: A Systematic Review[J]. Issues Ment Health Nurs, 2021, 42(2): 153-163.
[13] 吴婉云, 吴伟旋, 钟小兰, 等. 广州市社区卫生机构医务人员对精神疾病患者歧视态度调查[J]. 职业与健康, 2018. 34(14): 1968-1972.
[14] 张逸飞, 邓丽云, 祁伟, 等. 精神科轮转护士职业价值观与歧视精神病患者态度的相关性分析[J]. 职业与健康, 2019, 35(09): 1235-1239.
[15] 李雪洁, 刘琼玲, 李红赞, 等. 非精神科护士对精神病公众污名的调查分析[J]. 广东医学, 2021, 42(02): 243-246.
[16] SULLIVAN V, HUGHES V, WILSON DR.Nursing Burnout and Its Impact on Health[J]. Nurs Clin North Am, 2022, 57(1): 153-169.
[17] 马宏, 周建邦, 赵凤, 等. 青海省某高职院校医学生精神卫生知识的知晓率及对精神疾病态度[J]. 现代养生, 2023, 23(03): 197-201.
[18] 张丰健. 关怀领导力概念模型构建与测量及其对护士工作行为的影响路径研究[D]. 武汉: 华中科技大学, 2022.
[19] ZHANG F, PENG X, HUANG L, et al.A caring leadership model in nursing: A grounded theory approach[J]. Nurs Manag, 2022, 30(4): 981-992.
[20] 刘益亮, 李晓玲, 谢国军, 等. 广东某医院重性精神疾病住院患者疾病构成变化[J]. 中国病案, 2022, 23(07): 69-72.
[21] 徐婷婷, 冯启明, 覃娴静, 等. 广西乡镇卫生院医务人员精神卫生知识知晓状况及影响因素调查[J]. 现代预防医学, 2020, 47(07): 1244-1248.
[22] 胡雅婷. 公立医院合同制护士的组织公平感、工作压力、离职倾向关系研究[D]. 武汉: 武汉大学, 2020.
[23] 胡传芬, 彭燕, 孟春燕, 等. 精神卫生机构开放式心理病区人文关怀护理研究进展[J]. 全科护理, 2024, 22(06): 1056-1058.
[24] 贾竑晓, 李雪, 尹冬青, 等. 广泛性焦虑障碍中西医结合诊疗指南[J]. 现代中医临床, 2023, 30(06): 21-27+35.
[25] 刘子怡, 肖巍. 非自愿住院制度: 基于《中华人民共和国精神卫生法》的伦理分析[J]. 中国医学伦理学, 2022, 35(12): 1291-1298.
[26] RENTALA S, THIMMAJJA SG, BEVOOR P, et al.Nurses' knowledge, attitude and practices on use of restraints at State Mental health care setting: An impact of in-service education programme[J]. Invest Educ Enferm, 2021, 39(1): e12.
[27] MANGAOIL RA, CLEVERLEY K, PETER E, et al.The experiences of nurses following seclusion or restraint use and immediate staff debriefing in inpatient mental health settings[J]. J Adv Nurs, 2023, 79(9): 3397-3411.
[28] DALL'ORAC, BALL J, REINIUS M, et al. Burnoutin nursing: a theoretical review[J]. Hum Resour Health, 2020, 18(1): 41.