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目的:了解非精神科临床医师对心理卫生知识的知晓程度,编制适用的调查问卷。方法:方便选取北京市2家三级综合性医院,2家二级综合性医院,1家社区医院的共641名非精神科临床医师进行项目分析、内部一致性检验,并选取其中38例进行间隔2周的重测,以检验重测信度。对作者所在单位三级精神病专科医院的99名医师进行调查,计算其对心理卫生知识的知晓率,并与综合医院样本进行比较。结果:(1)问卷保留46题,包括6个维度,分别为焦虑症状及神经症相关问题、精神分裂症相关问题、抑郁障碍、失眠与心理咨询相关问题、脑器质性障碍、对综合医院心理卫生问题现状的认识。对6维度模型进行验证性因素分析,结果显示卡方与自由度之比小于3,误差项RMSEA与SRMR均<0.08,各种拟合指数除GFI和AGFI外,均>0.90。(2)问卷Cronbachα系数在0.73～0.89之间,重测Pearson相关系数在0.59～0.78之间。(3)综合医院受试对心理卫生知识总的知晓率低于专科医院受试(47.6%vs.90.9%,P<0.001)。结论:问卷结构符合编制要求,有较好信效度,能在一定程度上反映客观状况,可在临床中试用。
Objective: To understand the non-psychiatrist knowledge of mental health knowledge level, the preparation of the applicable questionnaire. Methods: A total of 641 non-psychiatrist clinicians at 2 tertiary general hospitals, 2 secondary general hospitals and 1 community hospital in Beijing were selected for project analysis and internal consistency test, and 38 of them were selected Interval 2 weeks of retest to test retest reliability. A survey was conducted on 99 physicians in the tertiary psychiatric hospital where the author was located to calculate their awareness of mental health knowledge and to compare with general hospital samples. Results: (1) Questionnaire retained 46 questions, including 6 dimensions, namely anxiety symptoms and neurosis related problems, schizophrenia related problems, depressive disorders, insomnia and psychological counseling related problems, brain organic disorders, general hospital Cognition of the Current Situation of Mental Health Problems. The confirmatory factor analysis of the 6-dimensional model showed that the ratio of chi-square to the degree of freedom was less than 3, the error terms RMSEA and SRMR were both <0.08, and all fitting indices except for GFI and AGFI were> 0.90. (2) The Cronbachα coefficient of the questionnaire was between 0.73 and 0.89, and the Pearson correlation coefficient was between 0.59 and 0.78. (3) The overall awareness rate of mental health knowledge in general hospital subjects was lower than that of specialist hospitals (47.6% vs.90.9%, P <0.001). Conclusion: The questionnaire structure complies with the compilation requirements, has good reliability and validity, can reflect the objective condition to a certain extent, and can be used clinically.