CAJ | 학술논문

目的：了解湖北省精神卫生机构开展心理服务情况，为制定政策提供基础依据。方法采用自制调查表，对湖北省精神卫生机构提供心理卫生服务情况进行抽样调查。结果80％以上的精神卫生机构开展了心理咨询与治疗服务。54．1％机构月门诊量≤150人次，39．3％机构年门诊量≤1000人次；34．8％机构心理科床位数≤30张，37．0％机构年出院人数≤250人。精神科医师、心理师学历结构以本科为主（40．9％），职称以中级为主（36．9％），工作年龄以5年以下人员为主（32．4％）；平均住院日均数42．6 d；心理病房收治病种，抑郁症、焦虑症、精神分裂症、双相障碍、强迫症分占前5位。结论目前湖北省心理卫生需求巨大，但心理机构服务能力及人力资源不足，且资源分配不均，素质偏低，需进一步针对性地加以改进。
목적：료해호북성정신위생궤구개전심리복무정황，위제정정책제공기출의거。방법채용자제조사표，대호북성정신위생궤구제공심리위생복무정황진행추양조사。결과80％이상적정신위생궤구개전료심리자순여치료복무。54．1％궤구월문진량≤150인차，39．3％궤구년문진량≤1000인차；34．8％궤구심이과상위수≤30장，37．0％궤구년출원인수≤250인。정신과의사、심리사학력결구이본과위주（40．9％），직칭이중급위주（36．9％），공작년령이5년이하인원위주（32．4％）；평균주원일균수42．6 d；심리병방수치병충，억욱증、초필증、정신분렬증、쌍상장애、강박증분점전5위。결론목전호북성심리위생수구거대，단심리궤구복무능력급인력자원불족，차자원분배불균，소질편저，수진일보침대성지가이개진。
Objective To understand the development of psychological service in mental health in‐stitutions of Hubei Province ,and provide evidences for enacting appropriate policy .Methods A sampling survey of psychological service at mental health institutions of Hubei Province was made by the self -made questionnaire .Results More than 80% of mental health institutions had developed the psychological counseling and treatment services .The outpatient's amount was less than or equal to 150 times/month in 54 .1% of mental health institutions ,the outpatient's amount was less than or equal to 1000 times/year in 39 .3% of mental health institutions ,the psychological department that only had less than or equal to 30 beds ,accounted for 34 .8% of mental health institutions ,and 37 .0% of institutions'discharged pa‐tients were less than or equal to 250 times/year .The major of educational degree of psychiatrists and psychologists was bachelor degree (40 .9% ) , and the major of title was intermediate certificate (36.9% ) ,the working experience mainly was less than 5 years (32 .4% ) .The average hospital days of mental health institutions was 42 .6 days .The top 5 diseases in psychological department respectively were de‐pression ,anxiety ,schizophrenia ,bipolar disorder and obsessive compulsive disorder .Conclusions At pres‐ent ,the mental health needs of Hubei Province is great .However ,the psychological departments are lack of human resources and service ability ;the distribution of mental health resources is imbalance;and the quality of the people working on psychological department is low .Therefore ,we should provide tar‐geted support to improve .