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何华敏, 胡春梅, 胡媛艳. 重庆市不同地区居民社区心理健康服务现状评价[J]. 中国公共卫生, 2011, 27(3): 293-296. DOI: 10.11847/zgggws2011-27-03-18
引用本文: 何华敏, 胡春梅, 胡媛艳. 重庆市不同地区居民社区心理健康服务现状评价[J]. 中国公共卫生, 2011, 27(3): 293-296. DOI: 10.11847/zgggws2011-27-03-18
HE Hua-min, HU Chun-mei, HU Yuan-yan. Evaluation of community mental health service among urban residents in different areas of Chongqing city[J]. Chinese Journal of Public Health, 2011, 27(3): 293-296. DOI: 10.11847/zgggws2011-27-03-18
Citation: HE Hua-min, HU Chun-mei, HU Yuan-yan. Evaluation of community mental health service among urban residents in different areas of Chongqing city[J]. Chinese Journal of Public Health, 2011, 27(3): 293-296. DOI: 10.11847/zgggws2011-27-03-18

重庆市不同地区居民社区心理健康服务现状评价

Evaluation of community mental health service among urban residents in different areas of Chongqing city

  • 摘要: 目的 了解重庆城市居民对社区心理健康服务现状的评价,为构建适合重庆城市社区实情的心理健康服务体系提供依据。方法 采用访谈法和《重庆城市社区心理健康服务现状评价问卷》,随机抽取重庆12个区县居民1 340人,调查居民对社区心理健康服务的形式、内容、效果等方面的评价。结果 1 340人中,主城区471人,占35.15%;渝西区461人,占34.40%;三峡库区408人,占30.45%;城市居民对社区心理健康服务现状评价得分分别为,主城区(80.51±20.42)分,渝西区(78.37±24.54)分,三峡库区(76.56±17.74)分,主城区评价总分、对服务效果、服务资源因子评分均高于三峡库区,差异均有统计学意义(P<0.001或P<0.05);不同年龄和不同受教育程度的评价得分差异有统计学意义(P<0.001或P<0.05);有心理问题接受心理健康服务的就医意向:选择亲朋好友求助者为66.70%,选择社区心理健康服务机构为45.60%,选择综合医院心理门诊为39.80%,选择私人心理咨询所为33.90%,选择精神病院者为8.10%;社区居民认为心理健康服务急需各级领导重视、上级给予经费保障、帮助居民认识到心理健康的重要性、提供专门工作场地和设施的比例分别为69.2%、68.40%、59.6%、57.90%;认为心理健康服务工作经费应由上级全额拨款的比例为43.1%。结论 社区心理健康服务在一定程度上得到居民接纳;社区心理健康服务需要社会各界,尤其是政府在政策制度、运行经费、人员配置等方面的大力支持。

     

    Abstract: Objective To evaluate the efficiency of community mental health service among urban residents in Chongqing and to provide the basis for constructing urban community mental health service system.Methods Totally 1 340 urban residents of 12 districts or counties in Chongqing city were interviewed with a self-made questionnaire.Results Among the participants, there were 471 (35.15%) from main urban area, 461 (34.40%) from western area, and 408 (30.45%) from the Three Gorges area.The total score for community mental health service was 85.51±20.42, 78.37±24.54, and 75.5±17.74 among the residents of main urban area, western area, and the Three Gorges area, respectively.The total scroe, the scores of service efficiency and service resource evaluated by the residents of main urban were significantly higher than those by the residents of the Three Gorges(P<0.001 or P<0.05).There were significant differences in evaluation scores between there sidents of different gender and different education level(P<0.001 or P<0.05).There were 66.70% of the residents preferring to relatives or friends, 45.60% to community mental health service, 39.80% to psychology clinic of general hospital, 33.90% to private consultant clinic, and 8.10% to mental hospital for help of mental health problems, respectively.The percentage of the participants considering governmental support to mental health service in policy, funding, facilities, and propaganda was 69.20%, 68.40%, 59.60%, and 57.90%, respectively.There were 43.1% of there sidents considering that the government should pay all the fund to carry out community mental health service.Conclusion Community mental health service can be accepted by urban residents.The municipal government should play a vital role in policy, institution, funding in effective community mental health service.

     

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