CAJ | 학술논문

目的了解综合医院急诊科处理自杀未遂患者时很少提供精神卫生服务的可能原因.方法对北京市2所大型三甲综合医院(北京协和医院和北京朝阳医院)的急诊科和精神心理科以及1所三甲精神专科医院(北京大学第六医院)的门诊医生及联络会诊科医生开展问卷调查,分析两组医生对于自杀未遂患者的态度及其工作可能存在的障碍.结果问卷回收率分别为68.7％(急诊科医生)和87.0％(精神科医生).急诊科医生在态度量表上多项评分低于精神科医生(P ＜0.001),但两组都认为患者应当得到精神卫生服务(两组中位数均为10分,P=0.059).医生们对工作中障碍的评价可以归纳出某些共识.结论综合医院急诊科医生已能普遍认可自杀未遂患者应该得到精神卫生服务.现存障碍复杂但仍有望解决.
목적 료해종합의원급진과처리자살미수환자시흔소제공정신위생복무적가능원인.방법 대북경시2소대형삼갑종합의원(북경협화의원화북경조양의원)적급진과화정신심이과이급1소삼갑정신전과의원(북경대학제륙의원)적문진의생급련락회진과의생개전문권조사,분석량조의생대우자살미수환자적태도급기공작가능존재적장애.결과 문권회수솔분별위68.7％(급진과의생)화87.0％(정신과의생).급진과의생재태도량표상다항평분저우정신과의생(P ＜0.001),단량조도인위환자응당득도정신위생복무(량조중위수균위10분,P=0.059).의생문대공작중장애적평개가이귀납출모사공식.결론 종합의원급진과의생이능보편인가자살미수환자응해득도정신위생복무.현존장애복잡단잉유망해결.
Objective The purpose of this study was to explore the barriers existing in medical settings behind the phenomenon that few suicide attempters were provided by mental health services when they got treatment in the general hospital ED.Methods An anonymous and voluntary survey was administered among two groups:ED physicians and psychiatrists.Two tertiary general hospitals and one psychiatric hospital were chosen through convenience sampling.Suicide Behavior Attitude Questionnaire and a self-made questionnaire to evaluate barriers were used.Results The response rate was 68.7％ for ED physicians,and 87.0％ for psychiatrists.ED physicians generally scored unfavorably than psychiatrists on many items in SBAQ(P ＜0.001),but on the item about whether the suicide attempters should have access to mental health services,the median of the scores =10 for both group (P =0.059),meaning highly agree.Some consistent barriers.could be summarized from the self-made questionnaire.Conclusions The majority of ED physicians in general hospitals still hold some misunderstanding about the suicide attempters,but they fully agree that the suicide attempters should have access to mental health services.The barriers for psychiatrists are clear.The barriers for ED physicians are complicated but workable.