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目的:了解初级保健人员自杀态度、自杀知识掌握情况,为自杀预防、干预及进一步的培训提供依据。方法:采用肖水源自杀态度问卷(Q SA)和自编自杀知识问卷,随机抽取杭州市2个主城区8个街道379名初级保健人员进行调查。结果:自杀态度问卷F 1~F 4均分在2.5~3.5之间,F 1、F 2、F 4持中立态度明显多于持肯定或否定态度,分别为66.3%、59.6%、54.5%,而F 3持肯定态度较多占63.6%,持否定态度不足1%。自杀知识知晓率普遍较低,平均得分为12.11±2.75分,及格率仅为19.9%。条目应答正确率最高87.3%,最低仅9.3%,半数条目应答正确率低于50%。经t检验、F检验,F3与性别、F4与工作满意度差异有统计学意义(t=2.55,P<0.01和t=3.4,P<0.01),自杀知识与既往是否培训差异有统计学意义(t=-7.98,P<0.01),其余差异无统计学意义(P>0.05)。结论:初级保健人员对自杀态度总体上持中立、矛盾态度,自杀知识与干预技能普遍缺乏,对自杀存在很多误解,迫切需要加强相关知识培训。
OBJECTIVES: To understand the attitude of suicide among primary health care workers and their knowledge of suicide and provide the basis for suicide prevention, intervention and further training. Methods: Using Shanshui suicide attitude questionnaire (Q SA) and self-compiled knowledge questionnaire, we randomly selected 379 primary health care workers in 8 streets in 2 main urban districts of Hangzhou for investigation. Results: The scores of suicide attitude questionnaire F 1 ~F 4 were all between 2.5 and 3.5, and those of F 1, F 2 and F 4 were significantly higher than those of positive or negative attitudes, which were 66.3%, 59.6% and 54.5% respectively, While F 3 holds a positive attitude of 63.6% and negative attitude of less than 1%. The awareness rate of suicide was generally low, with an average score of 12.11 ± 2.75 and a passing rate of only 19.9%. The highest correct rate of entry is 87.3%, the lowest is only 9.3%, and the correct rate of half entry is less than 50%. There was a significant difference between the suicide knowledge and the previous training by t test, F test, F3 and gender, F4 and job satisfaction (t = 2.55, P <0.01 and t = 3.4, P <0.01) (t = -7.98, P <0.01), the other differences were not statistically significant (P> 0.05). CONCLUSION: Generally speaking, primary health care workers have a neutral attitude towards suicide and a contradictory attitude. Suicide knowledge and intervention skills are generally lacking. There are many misunderstandings about suicide and there is an urgent need to strengthen relevant knowledge training.