| 林晓鸣,余敏,张杰,梁晓敏,孙彬,何红波.广东地区精神专科医院从业人员精神疾病相关病耻感水平和影响因素分析[J].四川精神卫生杂志,2020,33(3):263-267.Lin Xiaoming,Yu Min,Zhang Jie,Liang Xiaomin,Sun Bin,He Hongbo,Associative stigma and its influencing factors among mental health professionals in psychiatric hospitals in Guangdong[J].SICHUAN MENTAL HEALTH,2020,33(3):263-267 |
| 广东地区精神专科医院从业人员精神疾病相关病耻感水平和影响因素分析 |
| Associative stigma and its influencing factors among mental health professionals in psychiatric hospitals in Guangdong |
| 投稿时间：2020-02-23 |
| DOI：10.11886/scjsws20200223004 |
| 中文关键词: 精神卫生从业人员 相关病耻感 影响因素 |
| 英文关键词:Mental health professionals Associative stigma Factors |
| 基金项目:广东省医学科学技术研究基金（项目名称：广东省精神科医护人员的病耻感研究，项目编号：B2020042）；广东省基础与应用基础研究基金（项目名称：基于“犬尿酸-谷氨酸”通路探讨氯胺酮抗抑郁的作用机制，项目编号：2019A1515011611） |
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| 中文摘要: |
| 目的 探究精神卫生从业人员精神疾病相关病耻感水平及其影响因素，以期为制定减轻病耻感的干预策略提供参考。方法 本研究为横断面研究，选取广东地区9家精神专科医院从业人员1 600名为研究对象。采用中文版精神卫生工作人员相关病耻感量表（CASS-C）评估其病耻感水平。采用线性回归方法分析其病耻感水平的影响因素。结果 最终纳入研究对象1 453例，CASS-C总评分为（39.71±12.04）分，不同受教育程度（F=2.719，P=0.02)、职业（F=11.993，P<0.01)、工作部门（F=17.868，P<0.01）的精神专科医院从业人员CASS-C评分差异均有统计学意义。线性回归分析显示，在住院部工作、受教育程度为大专、护士职业是相关病耻感的影响因素（β=0.097、0.092、-0.097，P均<0.05）。结论 精神专科医院从业人员精神疾病相关病耻感水平较高，不同工作部门、受教育程度以及职业是相关病耻感的影响因素。 |
| 英文摘要: |
| Objective To explore the associative stigma and its influencing factors in mental health professionals, and to provide reference for the formulation of related intervention strategies.Methods A cross-sectional study was conducted among 1 600 mental health professionals in 9 psychiatric hospitals in Guangdong, and the associative stigma level of the selected subjects was assessed using Clinician Associative Stigma Scale-Chinese version (CASS-C), then the linear regression analysis was used to identify the factors associated with stigma in psychiatric professionals.Results A total of 1 453 cases were included in the study. CASS-C score was (39.71±12.04) in total, and there were significant differences among subjects with different educational backgrounds (F=2.719, P=0.02), occupations (F=11.993, P<0.01) and working departments (F=17.868, P<0.01). Linear regression analysis showed that working in inpatient department, education level of junior college and occupying in nurses were the influencing factors of associative stigma (β=0.097, 0.092, -0.097, P<0.05).Conclusion Mental health professionals in psychiatric hospitals suffer severe associative stigma, and departments, educational backgrounds and occupations are factors affecting associated stigma. |
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