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目的通过对广西农村社区不同精神卫生服务模式下的初级保健人员进行能力评价比较,为促进农村社区精神卫生发展提供科学依据。方法采用自编问卷,调查广西柳江县和柳城县6个样本乡镇的所有从事社区精神卫生服务的乡村初级保健人员291人。结果柳江县乡村初级保健人员精神卫生服务能力得分为(56.86±10.0)分,高于柳城县(49.25±13.52)分(P<0.001);多元回归分析结果显示,乡村初级保健人员精神卫生服务能力的影响因素有:服务模式、文化程度、婚姻、月收入、胜任力自评、工作总体满意度、精神卫生培训及对精神病人的态度。结论建立了“医院-社区一体化”精神卫生服务模式的柳江县,乡村初级保健人员的精神卫生服务能力较高,这对于培养和提高基层初保人员提供精神卫生服务的能力具有借鉴意义。
Objective To evaluate the ability of primary health care workers under different modes of mental health services in rural communities in Guangxi and provide a scientific basis for promoting mental health development in rural communities. Methods A self-made questionnaire was used to survey 291 rural primary health care workers engaged in community mental health services in 6 sample townships in Liujiang County and Liucheng County of Guangxi Province. Results The scores of mental health service ability of primary health care workers in rural areas in Liujiang County were (56.86 ± 10.0) points higher than those in Liucheng County (49.25 ± 13.52) (P0.001). The multiple regression analysis showed that the mental health services ability of rural primary health care workers The influencing factors are: service mode, educational level, marriage, monthly income, self-evaluation of competency, overall job satisfaction, mental health training and attitude toward mental patients. Conclusion The establishment of “hospital-community integration” mental health service model in Liujiang County, rural primary health care workers mental health service capacity higher, which for the training and enhance the grassroots workers insured to provide mental health services ability of reference .