Objective: General practice (GP) plays an important role in the healthcare of human populations, and Chinese medical schools have paid attention to using education to improve the GP ability of medical students. However, there are still a lack of evaluating tools focusing on the general practice ability of clinical undergraduate students in China. To the best of our knowledge, this is one of the first studies aimed at constructing a scale of the general practice ability of medical undergraduates (GPA-MU) and understanding the current situation and factors influencing the general practice ability of the undergraduate clinical medical students in China. Methods: This study included two steps: the scale development and the empirical study. The items of the GPA-MU scales were developed from a literature review, in-depth individual interviews, Delphi expert consultation, and a pilot test. For the empirical study, a sample of 318 medical undergraduates was recruited. Item analysis, content validity, exploratory and confirmatory factor analysis, convergent and discriminant validity, and internal consistency reliability were conducted to examine the properties of the GPA-MU, and single and multi-factor analysis were used to explore the related factors of the GPA-MU. Results: Finally, the GPA-MU consisted of 3 first grade indexes, 12 second grade indexes, and 43 third grade indexes, with good reliability and validity, which could be used to assess the level of general practice ability of clinical undergraduate students. According to the cross-sectional study, the general practice ability score of clinical undergraduate students in Hunan Province was 83.75 ± 14.97, indicating the low general practice ability of clinical undergraduate students. The region, knowledge, duration of practice, and salary package had an obvious effect on the general practice ability of clinical undergraduate students. Further targeted intervention strategies in China are needed to strength the general practice ability of students.

Aim: This study was designed to develop an effective measurement tool for occupational stress among medical staff and to identify the underlying risk factors among clinical nurses in China under depression during and after COVID-19.Methods: In the first stage, an occupational stress scale was developed for medical staff based on qualitative and quantitative methods. The dimensions of the scale were based on childhood stress and seven other parameters of working stress. In the second stage, a provincial survey was conducted among clinical nurses in Hainan. The structure of Medical Staff Occupational Stress Scale was tested in secondary and tertiary hospitals. The socio-demographic information, occupational stress (measured using the developed scale), and current depression symptoms (assessed with the nine-item Patient Health Questionnaire) were evaluated. The risk factors for occupational stress-induced depression were tested using multivariate logistic regression.Results: The Medical Staff Occupational Stress Scale consisted of 42 items under eight dimensions with strong reliability and validity. Almost 80% of the clinical nurses reported obvious symptoms of depression. Based on multivariate logistical regression analysis, the significant risk factors for depression in nurses at secondary hospitals and tertiary hospitals were childhood stress, teaching stress, relationship with patient stress, and administration stress. Conclusion: The Medical Staff Occupational Stress Scale utilized in nursing population is based on strong psychometric features. Childhood stress contributes to occupational stress in nurses. The selection of nurses for clinical work may require evaluation of past history for childhood stress to prevent occupational depression. Teaching stress, relationship with patient stress and administration stress play significant roles in the prevention of depression among clinical nurses.

AIM:To assess the servant leadership behaviour of head nurse and its linkage with nurse work engagement in China.DESIGN:A cross-sectional study.METHODS:A anonymous investigation with the stratified cluster randomized sampling of nurse was conducted in Hunan Province of China in December 2020. We administered the Perceived Head Nurse Service Leadership Behaviour Scale and the Chinese version of Utrecht work engagement scale to survey, and analyse its relationships by multiple linear regression.RESULTS:A number of 890 nurses participated in this study. The average score of the perceived servant leadership of head nurse reported by nurses was 78.90 ± 14.04, which was at a medium level. Among its six dimensions, the dimension of promote nurse development scored highest (16.04 ± 2.84), while the dimension of dedication scored lowest (11.39 ± 2.46). Official nurses reported higher perceived servant leadership scores of head nurses than those who were employed and temporary nurses (b = 1.727, 95% CI: 0.054-3.400); nurses in tertiary hospitals reported higher perceived servant leadership scores of head nurses than nurses in primary and secondary hospitals (b = 2.703, 95% CI: 0.305-5.100); and lower perceived servant leadership scores were associated with nurses' job overtime (b = -4.935, 95% CI: -6.891 to -2.978). Nurses' perceived servant leadership of head nurses were positively associated with nurses' work engagement (r = 0.336, p < .05). Multiple linear regression analysis indicated that the perceived servant leadership of head nurse affected nurses' work engagement strongly (b = 0.585, 95% CI: 0.479-0.691).CONCLUSION:The servant leadership behaviour of head nurse in China was at the medium level, which was positively associated with nurses' work engagement. Further research should improve the power of the servant leadership behaviour of head nurse by integrating additional training, policies and support.IMPACT:It is time to consider the servant leadership behaviour of head nurses and its linkage with nurses' work engagement in China seriously, and address the policies, guidelines, curriculum, and practice culture.PATIENT OR PUBLIC CONTRIBUTION:The study was conducted to explore the situation of servant leadership behaviour of head nurses and its linkage with nurses' work engagement in China, which did not include input from the public or the intended participants.

目的:了解湖南省内中医院护士中医药健康文化素养现状并分析其影响因素,为针对性提高中医院护士中医药健康文化素养提供参考.方法:采用两阶段抽样法,于2022年3～5月通过《2017年中国公民中医药健康文化素养调查问卷》对湖南省内中医院1796名护士进行中医药健康文化素养现状调查.结果:湖南省内中医院护士中医药健康文化素养水平为35.13％.5个维度中,中医药信息理解能力素养水平最高(84.97％);中医药公众适宜方法素养水平最低(5.18％);中医药基本理念、中医药文化常识和中医药健康生活方式素养水平分别为83.85％、70.27％和59.19％.二元Logistic回归分析显示,学历、职称、医院级别、自评健康状况是湖南省内中医院护士中医药健康文化素养的影响因素(P＜0.05).结论:湖南省内中医院护士中医药健康文化素养水平总体上仍有较大提升空间,护理管理者应加大对中医院护士中医药健康文化素养的培训力度,重点关注低学历、低职称、自评健康状况较好的二级中医院护士中医药基础知识的掌握情况,以提高其中医药健康文化素养水平.

Student populations are susceptible to the COVID-19 pandemic and may easy develop mental health problems related to their immaturity of psychological development and fluctuation of mood. However, little has been known about the effects of the pandemic on college students and the associated influencing factors. This study aimed to explore the role of psychological resilience as a mediator between general self-efficacy and mental health. A cross-sectional survey was conducted with 480 Chinese college students from 12 universities in Hunan province of China. The participants responded anonymously to the Generalized Self-Efficacy Scale (GSES), the Chinese version of the Resilience Scale for College Students (RSCS), and the 12-item General Health Questionnaire (GHQ-12). Hierarchical linear regression and structural equation modeling were used in this study. The average of GSES and RSCS scores of college students were 25.00 ± 4.68 and 137.97 ± 15.50, which were at a medium level. The average score for the GHQ-12 was 1.59 ± 1.59, and 22.03% of the college students scored ≥ 3 on the GHQ-12, indicating that they were at risk of developing mental disorders. According to the analyses of mediation effect, psychological resilience played a fully mediating role in the relationship between general self-efficacy and mental health. In conclusion, Chinese college students were at high risk of developing mental disorders during the COVID-19 period. General self-efficacy was positively associated with psychological resilience, and psychological resilience played a fully mediating role in the relationship between general self-efficacy and mental health. Future studies and interventions should aim to promote psychological resilience and general self-efficacy.

目的:调查分析湖南省护士感知的护士长服务型领导行为现状及其影响因素,为医院提高护理管理水平提供参考.方法:通过整群抽样,抽取湖南省2家三级医院、2家二级医院,采用一般资料调查表、护士长服务型领导行为量表对4家医院在职护士进行调查.结果:护士感知的护士长服务型领导行为的评分为(82.97±16.02)分,单因素分析结果显示,不同医院级别、人事状态、加班情况护士感知的护士长服务型领导差异有统计学意义,多因素分析结果显示护士的人事状态、加班情况、医院级别是护士长服务型领导行为的独立影响因素.结论:湖南省护士感知的护士长的服务型领导行为处于中等水平,加强护士工作状态的稳定性、减少加班有利于提高护士感知的护士长服务型领导水平.

Psychological resilience (PR) plays an important role in fortifying mental health during pandemics. This study aimed to examine the PR and its related factors of college students in China after the deblocking of the China’s COVID-19 pandemic strategy. A total of 1100 college students from 15 universities participated in this cross-sectional survey by multi-stage stratified sampling. Data were collected by self-designed socio-demographic information, the family function assessment scale (APGAR), a general health questionnaire (GHQ-12), the general self-efficacy scale (GSES), and a psychological resilience scale. The average score of PR was 135.65 ± 18.54. Cluster analysis of PR scores showed that 24.9% of the college students had weak PR. The higher PR, the higher mental health status (r = 0.352, p < 0.05). Females had higher PR than males (OR = 0.550, 95% CI: 0.367–0.827). High self-efficacy was an independent protective factor of high PR (OR = 0.093, 95% CI: 0.059–0.145). Low family contact frequency, poor family function, and bad mental health status were the independent risk factors of high PR. In conclusion, the PR of Chinese college students were insufficient after the deblocking of China’s COVID-19 pandemic strategy, indicating an improvement of PR should be put into practice immediately. Frequent monthly contact with family, family function, self-efficacy, mental health status, and gender were the influencing factors of PR, which provides an intervention strategy for the future.

Background The HIV/AIDS (human immunodeficiency virus/acquired immune deficiency syndrome) remains a global threat to health. Suicidal ideation has been a serious public health problem among people living with HIV (PLWH). However, the suicide prevention mechanism among PLWH still unclear. This study aims to analyze the suicidal ideation and its related factors in PLWH, and further explore the relationships between suicidal ideation and depression, anxiety and perceived social support. Methods This is a cross-sectional study. A total of 1146 PLWH were investigated by the general information questionnaire, the perceived social support scale (PSSS), the Beck scale for suicide ideation of Chinese version (BSI-CV), the generalized anxiety disorder scale-2 (GAD-2) and the patient health questionnaire-2 (PHQ-2) though the WeChat in China in 2018. By using statistical description and the binary unconditional logistic regression, we assessed the incidence of suicidal ideation and its related factors in PLWH. Besides, the intermediary effect of social support between anxiety, depression and suicidal ideation were explored by the stepwise test and Bootstrap method. Results The incidence of suicide ideation was 54.0% (619/1146) among the PLWH in the last week or during the most serious depression. Binary logistic regression analysis results showed that the PLWH who with short time for HIV positive diagnosis ( aOR (adjusted odd ratio) = 1.754, 95% CI (confidence interval):1.338–2.299), low monthly income ( aOR = 1.515, 95% CI :1.098–2.092), other chronic diseases except HIV ( aOR = 1.555, 95% CI :1.134–2.132), irregular lovers ( aOR = 1.369, 95% CI :1.021–1.837), anxiety ( aOR = 2.711, 95% CI :1.767–4.161), depression ( aOR = 1.614, 95% CI :1.078–2.417), low PSSS ( aOR = 2.139, 95% CI :1.345–3.399) had high risk of suicide ideation.The social support played a mediating role between the anxiety (the mediating effect accounted for 30.43% of the total effect), depression (the mediating effect accounted for 23.76% of the total effect) and the suicide ideation among PLWH. Conclusion The incidence of suicide ideation of PLWH was high. Anxiety, depression, and social support are the key factors of suicide ideation of PLWH. Social support plays a partial mediating role between anxiety, depression and suicidal ideation, which provides a new approach for prevention of suicidal ideation in PLWH and should be known widely for people to prevent suicide.

目的:探索叙事医学模式下双向互动的阅读疗法与常规治疗相结合用于精神障碍患者临床治疗的可行性与治疗效果.方法:本研究为临床随机对照实验,选取精神障碍患者376例为研究对象,随机分为对照组和实验组.对照组给予常规药物治疗和健康教育;实验组给予常规药物治疗、健康教育和双向互动的阅读疗法,为期6个月.治疗前后使用一般资料调查表、健康问卷抑郁症状群量表(PHQ-9)、广泛性焦虑自评量表(GAD-7)、睡眠状况自评量表(SRSS)、中文修订版Morisky服药依从性测量量表(MMAS-8)和治疗满意度量表进行问卷调查.结果:抑郁患者、精神分裂症患者、双向情感障碍患者、焦虑患者干预后抑郁和焦虑情况有显著改善.四类疾病患者干预后实验组的睡眠状况、服药依从性、治疗满意度有显著提升,且实验组提升更明显.结论:叙事医学模式下双向互动的阅读疗法显著改善了患者的抑郁、焦虑和睡眠状况,提升了服药依从性,提高了治疗满意度.

Purpose: Road safety research is important due to the large number of road traffic fatalities globally. This study investigated the influences of age, driving experience and other covariates on aggressive driving behavior. Methods: A cross-sectional survey was conducted in Yixing City, Wuxi City, Jiangsu Province, China. Regression analysis was applied to explore the influences of age and driving experience and their interactions with other covariates on aggressive driving behavior. Two analyses methodologies were used to assess the simple effect of the interactions. Firstly, the Jamovi automatic analysis classification program was used to calculate the simple slope test. Second, the SPSS macro program was also used to calculate the simple slope test also. Results: A total of 570 drivers (247 males, 282 females) participated in the survey. A negative correlation was found between age and aggressive driving behaviors, and a positive correlation was found between neuroticism and aggressive driving behaviors in the multiple regression analysis. Significant associations were also found between age, driving experience, and depression, as well as age, driving experience, and neuroticism. Simple slope tests showed that depressive symptoms could increase aggressive behaviors in the elderly and experienced drivers. When experiencing neuroticism, individuals with higher driving experience were more aggressive in driving than shorter experienced drivers. Conclusion: Age and neuroticism influenced aggressive driving behaviors. Veteran drivers could be aggressive drivers when experiencing depressive symptoms or neuroticism. Mobile intervention could be sent to the potentially risky drivers, which would be safe and broadly feasible to prevent aggressive driving behavior in the background of COVID-19.

Health system responsiveness (HSR) measures the experience of health-system users in terms of the non-clinical domains of the health system, which has been regarded as the three major goals of health performance evaluation. Good HSR may promote the use of health services and ultimately the health of patients. However, the HSR has not been measured as the main goal of the Epilepsy Management Project (EMP) in rural China. This study aims to evaluate the levels and distributions of the patient-perceived HSR of the EMP in rural China during the period of COVID-19 and identify its relevant factors so as to provide advice on the improvement of further strategies. Based on the key informant survey (KIS) of responsiveness from the World Health Organization proposal, we conducted a cross-sectional survey of 420 epilepsy patients selected proportional randomly from seven rural areas in the Hunan province of China in 2021. Eight domains of patients-perceived HSR were assessed by face-to-face interview. The overall HSR scored at a fairly "good" level of 8.3 (8.3 out of a maximum of 10.0). During the COVID-19 period, the scores of responsiveness domains were highest at 8.66 to 8.93 in "confidentiality", "dignity" and "choice of providers", while lowest at 8.38 to 8.53 in "prompt attention", "social support" and "basic amenities". The representative responsiveness equality index (REI) was 0.732, indicating the moderately balanced distributions of responsiveness of the EMP in rural China. Female, old age, and low education were significantly related to the lower HSR scores of rural EMP (p < 0.05). The HSR of EMP in rural China was fairly good. However, measures to improve the patient-perceived HSR are still needed, especially including better service, higher social support, and more comfortable medical environments.

目的 调查注册护士对"互联网+护理服务"的意愿水平,分析其影响因素,并提出相关的对策,以期为我国互联网移动护理平台的完善和推广提供参考依据.方法 采用便利抽样的方法,于2020年10月—11月在湖南省8所医院进行问卷调查,自行设计一般资料问卷、注册护士对"互联网+护理服务"意愿问卷进行调查.结果 回收有效问卷1521份,其中1134(74.6％)名护士知晓该政策,愿意参与"互联网+护理服务"的护士为889(58.4％)名.护士最愿意提供的前三项项目是:生命体征监测(79.3％,1206/1521)、心理护理(69.1％,1051/1521)、留置/更换导尿管护理(59.8％,909/1521);最不愿意提供的三项项目是失禁性皮炎的预防与护理(64.8％,985/1521)、造口护理(64.6％,982/1521)、压疮伤口换药(48.9％,744/1521).单因素分析显示,年龄越大、学历越高、职称越高、工作年限越长的护士,其参与"互联网+护理服务"的意愿越强(P<0.05).二元Logistic回归模型结果显示,婚姻状况、政策知晓情况、对"互联网+护理服务"模式认可情况、曾经是否参与过该服务、病人或家属是否提出服务需求、对本职工作影响情况、报酬、费用收取方式均是注册护士参与"互联网+护理服务"意愿的重要影响因素.结论 湖南省注册护士对于上门服务的意愿较高,但该服务仍然存在费用定价、护理质量控制等一系列问题.

BACKGROUND:In China, there are many studies focusing on the willingness of general practitioners and special medical personnel to work. However, there is a lack of studies on the working willingness of mental illness prevention and control staff.METHODS:This is a cross-sectional study. In this study we selected mental illness prevention and control personnel in the grassroots health service institutions in Hunan Province, China as our subjects. The χ2 test and binary logistic regression analysis were used to explore their work willingness and related influencing factors.RESULTS:The work willingness of mental illness prevention and control staff of grassroots institutions in China was 55.6% (502/903). The influencing factors were age (odds ratio [OR] 0.753 [95% confidence interval {CI} 0.638 to 0.888]), educational background (OR 1.342 [95% CI 1.092 to 1.648]) and major (OR 1.083 [95% CI 1.009 to 1.162]).CONCLUSIONS:The work willingness of the mental illness prevention and control staff of grassroots institutions in China was at a low level. The job of preventing and controlling mental illness in grassroots areas needs the competence of workers with strong specialty and professional competence and workers who are willing to work in these communities. Work willingness is the result of multiple factors, especially healthcare investments.

Due to the growth of research on sleep, mental health, and learning burnout on healthy growth and its related public health significance of adolescents, this study aimed to provide a deeper understanding of the effect of mental health and learning burnout on sleep among primary school students. The sleep quality (subjective sleep quality, sleep time, sleep latency, sleep duration, sleep efficiency, sleep disturbance, and daytime dysfunction), mental health, and learning burnout (exhaustion, learning cynicism, and reduced efficacy) of 900 students of grades 3–6 in primary schools were assessed in 2020. The PSQI scores of participants were 4.19 ± 2.545, of which a number of 322 (39.03%) students had sleep disturbance (PSQI scores ≧ 5). Binary logistic regression analysis showed that screen time (OR = 1.518, 95% CI: 1.164–1.980), ranking status (OR = 0.659, 95% CI: 0.480–0.907), learning burnout (OR = 1.088, 95% CI: 1.067–1.108), and mental health (OR = 4.672, 95% CI: 1.954–11.173) were the influencing factors for sleep quality of grade 3–6 students. According to the mediation effect analyses, mental health played a mediating effect (58.73% of the total effect) on the relationship between learning burnout and sleep quality. In conclusion, primary school students in Hunan of China have prominent sleep problems, and the daytime dysfunction caused by sleep problems is the most serious. Learning burnout positively predicted poorer sleep quality, and mental health played a mediating effect on the relationship between learning burnout and sleep quality.

Objectives Mental health resources are an important basis for coping with mental health services. The equity is an important index of a reasonable allocation of health resources. This study aims to evaluate the mental health resources and its equity allocation in Hunan Province, which is one of the typical central south areas of China, so as to provide reference for the development of mental health in China and other areas. Methods Data related to mental health resources was obtained from the Project of Mental Health Resources in Hunan Province, which was conducted by the Department of Hunan Mental Health Center in 2019. The Gini coefficient, the Theil index and other indicators were employed to quantitatively evaluate the equity of mental health resources’ allocation. Results By the end of 2018, there were a total of 141 mental health institutions in Hunan Province of China, the bed density was 5.31 beds per 10,000 people, the ratio of doctors to nurses was 2.20, the number of outpatients of mental health institutions was 1288,047 per year. The mental health resources’ allocation in terms of demographic dimension were in a preferred status with the Gini values all less than 0.3, and the Gini values for mental health resources`allocation in terms of geographical dimension ranged from 0.24 to 0.35. The Theil index for mental health allocation in terms of demographic dimension was lower than 0.05, and the Theil index for mental health allocation in terms of geographical dimension ranged from 0.04 to 0.11. Conclusions The shortage of mental health resources is still the priority issue to be increased and optimized by policy-makers in Hunan in the future, especially the human resources. Moreover, the utilization of mental health resources was low though its equity was fair. Policy-makers need to consider the high utilization and geographical accessibility of health resources among different regions to ensure people in different regions could get access to available health services.

目的:了解湖南省中医专科护士科研能力现状及影响因素,为本地区中医专科护士的准入、培训、考核方案提供参考.方法:采用一般资料问卷和科研能力自评量表对120名中医专科护士进行问卷调查,运用多元线性回归分析中医专科护士科研能力的影响因素.结果:纳入的中医专科护士科研能力总分为(31.66±19.65)分,处于较低水平;不同职务、不同工作年限、是否参加了科研培训的中医专科护士科研能力得分比较,差异有统计学意义(P＜0.05).结论:湖南省中医专科护士科研水平仍有待提高,医院管理部门需重视专科护士科研能力的培养,根据中医护理专业的特点及对专科护士科研能力的要求,广泛开展科研培训,全面提升专科护士科研水平,促进中医护理的高质量发展.

目的:调查新型冠状病毒肺炎疫情后长沙市在校大学生的心理健康状况,并分析基本情况、家庭功能情况与新冠疫情后在校大学生心理健康状况的关系,旨在深入认识新冠疫情后在校大学生的心理健康状况及其影响因素.方法:以长沙市在校大学生为研究对象,采用多阶段分层整群抽样,抽取12个大学11个专业24个班级共539名在校大学生参与本次研究.通过对基本情况调查表、一般健康问卷(GHQ-12)、家庭功能评估表(APGAR)中各因素进行X2检验得到有统计学差异的影响因素,采用非条件二分类logistic回归分析相关因素对新冠疫情后在校大学生心理健康状况的影响.结果:本次研究共收到有效问卷539份,调查有效率为98.0％(539/550).此次调查对象中GHQ-12得分阳性者有119人,阳性检出率为22.1％,其中男生GHQ-12阳性检出率为28.6％,女生为18.6％.长沙市在校大学生中不同性别(X2= 7.134,P＜0.01)、家庭经济水平(X26.663,P＜0.05)、母亲受教育程度(X2 =9.663,P＜0.05)、家庭功能情况(X2=30.085,P＜0.01)、父母婚姻状况(X2=5.147,P＜0.05)的心理健康状况不同.将心理健康状况阳性与否作为因变量,将性别、年龄、家庭居住地、民族、年级、在学校平均每个月的生活费支出、每月与家人联系频率、父母婚姻状况、家庭经济水平、父亲受教育程度、母亲受教育程度、家庭功能情况作为协变量,经非条件二分类logistic回归分析显示,在校大学生的家庭经济水平越高,其疫情后心理健康状况越佳(OR=0.661,P＜0.05);在校大学生的家庭功能越好,其疫情后心理健康状况越佳(OR=0.473,P＜0.01).结论:新冠疫情发生后,部分长沙市在校大学生心理健康状况处于不佳水平,大学生家庭经济水平、家庭功能情况越好,越能在心理健康状况中起到积极的作用.

The aim of this study was to explore the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China and its influencing factors, so as to provide the basis for further strategies. A retrospective study researching on the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project of Rural China was conducted. The Nan County, Hunan Province as a typical rural China was selected as the study site. We collected the compliance and other relative factors from 2017 to 2019 though the Phenobarbital Epilepsy Management Project data system. The good compliance patients in the Phenobarbital Epilepsy Management Project in a rural area of China were 98.99% (393/397); only 4 cases had poor compliance. The factors affecting the compliance of epilepsy patients were "adverse reactions of digestive tract symptoms," "how the patient felt physically, mentally, or working and learning ability during this period," and "the ratio of the attack to the previous one." The rate of good compliance among the epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China was high. More attention to education, patients' psychology, and the curative effect of family members may improve the compliance of patients with epilepsy further.

目的:探讨湖南省乡镇卫生院精神疾病防治人员的工作意愿及其影响因素.方法:以湖南省乡镇卫生院精神疾病防治人员为研究对象,运用自行设计的精神疾病防治人员工作意愿调查表对湖南省乡镇卫生院精神疾病防治人员进行调查.结果:本次研究共调查1496名精神疾病防治人员,有1023人(68.4％)愿意长期(＞3年)从事精神疾病防治工作,473 人(31.6％)不愿意长期从事该项工作.无稳定婚姻[OR(odd ratio)=0.674,95％CI(con-fidence interval):0.476～ 0.955]、工作年限≤3年[工作年限＜1年(OR=0.330,95％CI:0.172～ 0.635),工作年限1～3年(OR=0.702,95％CI:0.535～0.921)]、兼职人员[OR=0.558,95％CI:0.395～0.789]、本年度未参加过培训[OR=0.583,95％CI:0.460～0.740]是精神疾病防治人员长期从事该项工作意愿的不利因素.精防人员对精防工作的福利待遇越不满意,其长期从事该项工作的意愿越低(OR=0.805,95％CI:0.712～0.909);精防人员觉得从事精神疾病防治工作的社会地位越受尊敬,其长期从事该项工作的意愿越高(OR=1.295,95％CI:1.082～1.550);精防人员对精神疾病防治工作具有良好的发展前景越不赞同,其长期从事该项工作的意愿越低(OR=0.567,95％CI:0.496～0.648).结论:湖南省乡镇卫生院精神疾病防治人员的工作意愿偏低,福利待遇、社会地位和发展前景等多方面是影响精神疾病防治人员队伍的因素.

The aim of this study was to explore the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China and its influencing factors, so as to provide the basis for further strategies. A retrospective study researching on the compliance of epilepsy patients in the Phenobarbital Epilepsy Management Project of Rural China was conducted. The Nan County, Hunan Province as a typical rural China was selected as the study site. We collected the compliance and other relative factors from 2017 to 2019 though the Phenobarbital Epilepsy Management Project data system. The good compliance patients in the Phenobarbital Epilepsy Management Project in a rural area of China were 98.99% (393/397); only 4 cases had poor compliance. The factors affecting the compliance of epilepsy patients were “adverse reactions of digestive tract symptoms,” “how the patient felt physically, mentally, or working and learning ability during this period," and “the ratio of the attack to the previous one.” The rate of good compliance among the epilepsy patients in the Phenobarbital Epilepsy Management Project in a rural area of China was high. More attention to education, patients’ psychology, and the curative effect of family members may improve the compliance of patients with epilepsy further.