| 摘要: |
| 目的调查医务人员对抑郁症和老年期痴呆诊治技术了解情况。方法选择浙江省10个地市的医务人员进行《抑郁症和老年期痴呆诊治问卷》调查，共发放问卷527份，回收521份，其中有效问卷512份。结果随着医院等级的提高，两种疾病技术的了解程度逐渐提高，但街道与社区卫生服务的基层医务人员对两种疾病的诊疗技术的了解程度较低（P＜0.01）。在社区卫生服务中心的医务人员不了解的人群远远高于了解的人群，除精神专科医务人员，其他专业的医务人员对抑郁症的精神访谈技术及心理测试技术（包括量表自评及他评），不了解的人群基本上多于了解的人群（P＜0.01）。老年期痴呆的诊断、评估、治疗、康复管理等技术的医务人员不了解超过了解（P＜0.01）。综合医院和精神专科医院的医务人员对两种疾病的技术了解的人群高于不了解的人群，而在社区卫生服务中心的医务人员不了解的人群远远高于了解的人群（P＜0.01）。随着工作年限的增加，抑郁症识别技术、精神访谈技术、药物治疗、心理治疗技术及康复技术了解的人群要高于不了解的人群（P＜0.05或0.01）。结论基层医务人员作为精神疾病防控、康复的第一线，对相关知识的了解程度令人担忧，应该通过各种方式，把专业知识向基层进行传播。 |
| 关键词: 抑郁症 痴呆 技术了解 |
| DOI： |
| 分类号: |
| 基金项目:浙江省医药卫生科技计划项目；浙江省科技厅重大项目 |
|
| An Investigation on Techniques for Diagnosis and Treatment of Depression and Dementia in Physicians with different levels |
|
WU Wanzhen,YU Enyan,WANG Hong,TAN Yunfei,LIAO Zhengluan,CHOU Yaju,ZHU Junpeng,WANG Zhixuan,WANG Xinwei,CHEN Yan
|
|
Zhejiang Hospital
|
| Abstract: |
| Objective To investigate the techniques requirement of diagnosis and treatment of depression and dementia for community doctors. Methods "Depression and senile dementia diagnosis and treatment questionnaire" was designed; community doctors in ten cities were surveyed. A total of 527 questionnaires were issued, and 521 were reclaimed, 512 of which were valid questionnaires. Results With the improvement of the hospital grade, two levels of technical understanding of the disease was gradually improved. While in primary health care and community health services, medical staffs had lower level of understanding of both diseases in medical technology (P ＜0.01). The population which comprehends the mental status examination and psychological testing technology of depression was significantly less than the population that does not master the knowledge(P＜0.01). The situation was worse in dementia, only few medical staffs knew the diagnosis, assessment, treatment, rehabilitation and management techniques (P＜0.01). The number of general hospitals and psychiatric hospitals medical staff about technical understanding of both diseases is higher than the population of people not understanding (P＜0.01). The number of medical staff in the community health service centers not understanding is much higher than people understanding (P＜0.01). With the increase of years of work, the crowd of understanding was more than the crowd not understanding(P＜0.01). Conclusion The primary medical personnel as the first line of disease prevention should be trained for knowledge about prevention, treatment, and the rehabilitation on mental illness. |
| Key words: Depression Dementia Understanding of technology |
