目的 探討精神科心身病房優質護理服務模式及效果。 方法 2010年7月起心身病房加入優質護理活動，通過了解患者對優質護理的需求，結合精神科專業特色，從培訓和提高護理人員業務能力著手，實行醫護共同交班制、共同查房制、開展思維糾正和行為訓練、加強康復指導等措施建立優質護理服務模式，并對優質護理的效果以滿意度進行評價。 結果 患者對優質護理的希望與要求集中反映在主動熱情服務、溝通好、康復治療效果好等方面；實施優質護理服務后，患者、醫生及護士的滿意度均有不同程度上升。 結論 心身病房開展優質護理服務，能有效滿足患者的需求和體驗，提高護士的專科護理技能，達到患者、醫生、護士共同滿意的良好效果。
ObjectiveTo investigate Chinese psychiatrists' mental health. MethodsLiteratures published from January 1989 to March 31, 2013 were searched through Chinese network databases (CNKI, Weipu, Wanfang) and English network database (OVID). Factors of Symptom checklist-90 (SCL-90) were extracted and compared with Chinese norm. These were analyzed by Meta analysis method. ResultsEleven articles were obtained and analyzed, including 725 psychiatrists. The research illustrated that the differences between psychiatrists and Chinese norm of somatization[WMD=0.19, 95%CI (0.05, 0.33), P=0.008], depression[WMD=0.25, 95%CI (0.06, 0.43), P=0.009], anxiety[WMD=0.28, 95%CI (0.09, 0.47), P=0.004], hostility[WMD=0.15, 95%CI (0.01, 0.30), P=0.03], and phobia[WMD=0.11, 95%CI (0.02, 0.20), P=0.02] were significant, while the other 4 factors were not significant (P>0.05). ConclusionPsychiatrists' mental health is poor and intervention measures need to be adopted to improve psychiatrists' mental health.
【摘要】 目的 評估四川省精神科專科醫師培訓基地帶教師資培訓效果、培訓方式及提出建議。 方法 對2009年10月和2010年11月的兩次培訓均參加的59名帶教師資采用自制評估表進行評估，其中男37名，女22名；年齡（39±9）歲。采用SPSS 13.0統計軟件進行統計分析。 結果 參與培訓帶教師資對培訓的效果總體評價，好22名，占37.29%，很好18名，占30.51%；對培訓方式的總體評價，好25名，占42.37%，很好20名，占33.91%；參訓教師各個方面較培訓前均有顯著提高。 結論 開展短期方式多樣的集中培訓可能是提高帶教師資水平的一種快速途徑。應該建立師資準入制度考核標準和標準培訓內容，從而建立起一支高素質的精神專科醫師培訓的帶教師資，保障精神專科醫師培訓的質量和順利進行。【Abstract】 Objective To assess the results and styles of training process for faculty doctors in psychiatric specialist training center of Sichuan Province, and put forward suggestions. Methods We evaluated 59 psychiatric specialist training faculty doctors, including 37 males and 22 females aged (39±9) years old by giving out a self-made questionnaire. Factor analysis was done by adopting SPSS 13.0. Results Evaluation of the training results showed good in 22 doctors (37.29%), and very good in 18 doctors (30.51%); Evaluation of the training style showed good in 25 doctors (42.37%) and very good in 20 doctors (33.91%). After training, the faculty doctors got more progress than before in every aspects. Conclusions Short-term training with various training styles may be a quick way for faculty doctors in psychiatric specialist training center to increase their teaching ability. The standard enrollment criteria, standard training contents and standard exam criteria should be established. Through this, a high-quality faculty doctors in psychiatric specialist training center will be set up, which is very important in ensuring the quality and success of training for psychiatric specialist doctors.