CAJ | 학술논문

目的:了解非精神科临床医师对心理卫生知识的知晓程度,编制适用的调查问卷.方法:方便选取北京市2家三级综合性医院,2家二级综合性医院,1家社区医院的共641名非精神科临床医师进行项目分析、内部一致性检验,并选取其中38例进行间隔2周的重测,以检验重测信度.对作者所在单位三级精神病专科医院的99名医师进行调查,计算其对心理卫生知识的知晓率,并与综合医院样本进行比较.结果:(1)问卷保留46题,包括6个维度,分别为焦虑症状及神经症相关问题、精神分裂症相关问题、抑郁障碍、失眠与心理咨询相关问题、脑器质性障碍、对综合医院心理卫生问题现状的认识.对6维度模型进行验证性因素分析,结果显示卡方与自由度之比小于3,误差项RMSEA与SRMR均<0.08,各种拟合指数除GFI和AGFI外,均>0.90.(2)问卷Cronbach a系数在0.73～0.89之间,重测Pearson相关系数在0.59～0.78之间.(3)综合医院受试对心理卫生知识总的知晓率低于专科医院受试(47.6%vs.90.9%,P<0.001).结论:问卷结构符合编制要求,有较好信效度,能在一定程度上反映客观状况,可在临床中试用.
목적:료해비정신과림상의사대심리위생지식적지효정도,편제괄용적조사문권.방법:방편선취북경시2가삼급종합성의원,2가이급종합성의원,1가사구의원적공641명비정신과림상의사진행항목분석、내부일치성검험,병선취기중38례진행간격2주적중측,이검험중측신도.대작자소재단위삼급정신병전과의원적99명의사진행조사,계산기대심리위생지식적지효솔,병여종합의원양본진행비교.결과:(1)문권보류46제,포괄6개유도,분별위초필증상급신경증상관문제、정신분렬증상관문제、억욱장애、실면여심리자순상관문제、뇌기질성장애、대종합의원심리위생문제현상적인식.대6유도모형진행험증성인소분석,결과현시잡방여자유도지비소우3,오차항RMSEA여SRMR균<0.08,각충의합지수제GFI화AGFI외,균>0.90.(2)문권Cronbach a계수재0.73～0.89지간,중측Pearson상관계수재0.59～0.78지간.(3)종합의원수시대심리위생지식총적지효솔저우전과의원수시(47.6%vs.90.9%,P<0.001).결론:문권결구부합편제요구,유교호신효도,능재일정정도상반영객관상황,가재림상중시용.
Objective: To develop the mental health knowledge questionnaire in order to know about the awareness of mental health knowledge in non-psychiatric clinicians. Methods: A sample of the 641 non-psychiatric clinicians from 2 tertiary general hospitals, 2 second-class general hospitals, and 1 community hospital were used for item analysis and internal consistency test; 38 cases were selected for the re-test interval of 2 weeks to test the test-retest reliability. And totally 99 psychiatrists finished the survey as controls. The awareness rates between the non-psychiatric and psychliatric clinicians were compared. Results: The questionnaire included 46 items and consis-ted of 6 subscales, involving anxiety, schizophrenia, depression, dyssomnia and psychological counseling, or-ganic brain disorder, and recognition for mental health service situation in general hospital The results of confirma-tory factor analysis showed that the ratio of chi-square and degree of freedom was below 3. The fitting indexes except GFI and AGFI were more than 0.90. The Cronbach's alpha coefficients ranged from 0.73 to 0.89, and test-retest Pearson correlation coefficient of reliabifity ranged from 0.59 to 0.78. Awareness rate was 47.6% in general hospital and 90.9% in psychiatric hospitals. Conclusion: The mental health knowledge questionnaire has good psychometric properties and may be applied in clinical studies.