Objective To assess the current competency status of grassroots mental health prevention personnel in Hunan Province and explore its influencing factors, thereby providing a basis for optimizing human resource strategies. Methods A cross-sectional survey was conducted using cluster random sampling among 2, 276 grassroots mental health workers from 14 prefectures in Hunan. Competency was evaluated using the “Competency Evaluation Index System for Professional Technical Personnel in Mental Health Prevention, “ with data analyzed via t-tests, ANOVA, multiple linear regression, and interaction effect analysis. Results A total of 2 053 valid questionnaires were collected, yielding an effective response rate of 90.2%. The overall mean competency score was 188.37±32.902, with an average item score of 3.69. The personal traits dimension scored the highest (4.02), while the theoretical knowledge dimension scored the lowest (3.53). Multiple regression analysis indicated that gender, professional category, full-time status, and weekly working hours were independent influencing factors of competency (P<0.05). Interaction analysis revealed that increasing weekly working hours could buffer the competency gap associated with part-time roles. Conclusion The overall competency of grassroots mental health workers in Hunan is moderately high, yet a structural imbalance exists with stronger attitudes but weaker theoretical knowledge. It is recommended to strengthen theoretical training, promote full-time positions, and ensure adequate working hours for part-time staff to enhance service capacity.
Key words
mental health /
competency /
influencing factors /
primary healthcare institutions
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 郑尚坤. 我国精神卫生政策的演进和优化路径研究[D]. 济南: 山东大学, 2023.
[2] 黄悦勤. 中国精神障碍流行病学研究概述[J]. 广西医科大学学报, 2024, 41(11): 1496-1500.
[3] 国家卫生健康委. 关于开展“儿科和精神卫生服务年”行动 (2025-2027年) 的通知[EB/OL]. (2025-04-30) [2025-10-25]. https://www.gov.cn/zhengce/zhengceku/202504/content_7021393.htm.
[4] 健康中国行动推进委员会. 健康中国行动 (2019—2030年) [EB/OL]. (2019-07-15) [2025-10-25]. https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
[5] 苗蕴琪. 医院-社区一体化防治模式下四川省基层精防人员工作能力评估及满意度调查[D]. 成都: 四川大学, 2022.
[6] 郭瑞清, 冯琬婷, 李慧, 等. 四川省基层精神疾病防治人员人力现状描述及能力评估[J]. 现代预防医学, 2023, 50(05): 865-868.
[7] 李佳, 梁雨, 郭瑞清, 等. 四川省精神科医师开展公共精神卫生服务能力现况及影响因素研究[J]. 现代预防医学, 2023, 50(05): 902-907.
[8] 陈艳, 刘飞跃. 农村社区精神卫生服务能力评估框架建构[J]. 长沙大学学报, 2023, 37(04): 60-64.
[9] 吴霞民, 马宁, 陈润滋, 等. 中国内地精神卫生防治技术管理机构现状调查[J]. 中国公共卫生, 2023, 39(04): 485-488.
[10] SOW A, SMEKENS T, De MAN J, et al.[Quality of health worker-patient communication: What are the benefits of integrating mental health into front-line services in Guinea?][J]. Rev Epidemiol Sante Publique, 2021, 69(5): 287-295.
[11] POORCHANGIZI B, BORHANI F, ABBASZADEH A, et al.Professional Values of Nurses and Nursing Students: a comparative study[J]. BMC Med Educ, 2019, 19(1): 438
[12] 李亚慧, 朱珠, 陈家应, 等. 社区精防人员配置现状及培训需求调查[J]. 南京医科大学学报 (社会科学版), 2021, 21(04): 366-371.
[13] 刘欢. 系统观指导的上海社区精神心理卫生服务能力提升研究[D]. 上海: 中国人民解放军海军军医大学, 2020.
[14] WANG Y, ZHANG Y, LIU M, et al.Research on the formation of humanistic care ability in nursing students: A structural equation approach[J]. Nurse Educ Today, 2020, 86: 104315.
[15] 胡明强, 刘颖, 刘琪燕, 等. 河南省急诊医护人员共情能力与社会支持的相关性[J]. 河南医学研究, 2025, 34(19): 3484-3489.
[16] ALMARWANI A M, ALZAHRANI N S.Factors affecting the development of clinical nurses' competency: A systematic review[J]. Nurse Educ Pract, 2023, 73: 103826.
[17] 秦露露, 罗邦安. 湖南省乡镇卫生院精神疾病防治人员工作意愿及其影响因素[J]. 中国健康心理学杂志, 2021, 29(09): 1281-1286.
[18] 袁芳, 徐红燕, 沈校康, 等. 精神心理专科护士培训迁移方案的构建与应用[J]. 中国护理管理, 2025, 25(09): 1410-1415.
[19] 刘普, 顾旭光. 编研一体制度下期刊编辑职业认同实证研究——以中国社会科学院学术期刊编辑群体为例[J]. 科技与出版, 2022(05): 111-117.
[20] 唐红. 辽宁省公卫执业医师岗位胜任力评价及其影响因素分析研究[D]. 沈阳: 中国医科大学, 2020.
PDF(2213 KB)
