General Hospital Mental Health Status, Problems And Countermeasures

Through the investigation to out-patients, in-patients and medical professionals in a general hospital, the study try to explore the mental health status of patients and influences, main mental disorders, and the problems in mental health services, which will benefit to provide scientific evidence to programs of mental health services and to enhance clinical practice in general hospital.Mental health status of patients: 58.4% of out-patients with different degree of mental health problems, and 29.07% and 34.13% of the sample with anxiety and depression respectively.By the single-factor and mult-factors analysis, risk factors for mental health status were as follow: being female, being peasant, longer course of physical disease, and with internal medical conditions. 59.2% of in-patients with different degree of mental health problems. 29.07%, 34.13% and 6.6% of in-patients with anxiety, depression and brain organic syndrome respectively.Risk factors for mental health status of in-patients were as follow: being female, being retired, longer course of physical disease, withsevere physical diseases, and with internal medical conditions. In out-patients and in-patients, the mental health status of those who with internal medical conditions were the poorest.The detection rate for depression in in-patients was 4.12%, the management rate was 25%; the detection rate and the management rate for anxiety were 11.9% and 33.3% respectively; the detection rate and the management rate for brain organic syndrome were 22.1% and 40% respectively. Psychiatric consultation rate were only 0.6%, and most mental disorders were misdiagnosed or untreated. 'The problems in mental health services: Traditional biological medical model deeply affected on our thoughts and actions, so that psychiatric services were often neglected; psychiatric services were single and ineffective; mental health knowledge and skills of medical professionals were scarce, and they often neglected mental health services; patients and folks got poor mental health knowledge, and had most prejudice on mental diseases.So we give some advice: each leader should improve hisconsciousness of mental health services, to draw up relevant systems and arrangements, so that mental health services could be easy to carry out; holding the mental health education to medical professionals, so that to enhance those capabilities of detecting and treating mental disorders; psychiatrists should promote consultation-liaison psychiatry services, and amplify collaboration with physicians; contents and methods of mental health services could be accepted widely by people through popularizing mental health knowledge.