调查浙江省基层医务人员对抑郁症和老年期痴呆诊治技术的需求情况。

自行设计《抑郁症和老年期痴呆诊治技术需求问卷》（包括20项技术），选择浙江省10个地市的医务人员为调查对象，发放问卷612份，回收590份，其中有效问卷533份。对不同级别医院、不同属性医院、不同专业、不同职称、不同年资医师对各项技术的需求百分比进行比较分析。计数资料的比较均采用χ²检验。

不同级别医院、不同属性医院、不同专业、不同职称、不同年资医师对各项技术的需求百分比均明显高于不需求的百分比。除无抽搐电休克技术外，不同级别医院对抑郁症与老年期痴呆诊治技术的需求百分比无明显差异；三级医院医师对无抽搐电休克技术需要的百分比明显高于二级医院、街道医院及社区医院医师对无抽搐电休克技术需要的的百分比（χ²=11.42、6.92、8.75，均P<0.01）。除无抽搐电休克技术外，不同属性医院对抑郁症与老年期痴呆诊治技术的需求百分比无明显差异；精神专科医院对无抽搐电休克技术的需要百分比明显高于综合医院及社区医院对无抽搐电休克技术的需要百分比（χ²=14.11、11.19，均P<0.01）。除无抽搐电休克技术外，不同专业医师对抑郁症与老年期痴呆诊治技术的需求无明显差异；精神科医师对无抽搐电休克技术的需要百分比明显高于内科医师（χ²=8.90，P<0.01）。除抑郁症精神访谈技术外，不同年资对抑郁症与老年期痴呆其他相关技术的需求百分比无明显差异；工作年资1～3年的医师对抑郁症精神访谈技术的需要百分比明显低于10年以上年资组医师的需要百分比（χ²=6.09，P<0.05）。

浙江省基层医务人员对抑郁症和老年期痴呆诊治技术具有较大的需求，通过问卷调查可以了解医务人员的具体需求，以便在下一步的培训中更能有的放矢，提高培训效果。

To investigate the needs for diagnosis and treatment techniques for depression and dementia in community doctors in Zhejiang province.

"Depression and senile dementia diagnosis and treatment questionnaire" (including 20 techniques) was designed. Community doctors were surveyed in ten cities. A total of 612 questionnaires were issued, and 590 were reclaimed, 533 of which were valid questionnaires. For different levels of hospitals, hospitals of different properties, different majors, different professions, different working experience of doctors on the technical demand percentage were compared and analyzed. Count data were compared by chi square test.

Different levels of hospitals, hospitals of different properties, different majors, different professions, different working experience of doctors on the technical demand percentage were significantly higher than the percentage of non-demand. The percentage of doctors in tertiary hospitals on the technology demand for MECT was significantly higher than secondary hospitals, street hospitals and community hospitals (χ²=11.42, 6.92, 8.75, all P<0.01). Except for the modified electric shock technology and the senile dementia screening technology, there were no significant differences in the needs of different professional physicians in the treatment of depression and senile dementia. The percentage of psychiatrists on the technology demand of MECT was higher than that of other professional physicians. The percentage of surgeons on the technology demand for Alzheimer's screening was lower than those of other professional physicians (χ²=8.90,P<0.01). The percentage of doctors' seniority in 1~3 years on the technologydemand for psychiatric interview was lower than the percentage of other seniority groups (χ²=6.09,P<0.05).

Primary medical staff in Zhejiang province have a strong demand for the technology of diagnosis and treatment in depression and senile dementia. After the questionnaire survey, the specific needs of the medical staff can be understood. It will be more targeted in the next step of the training and improve the training effect.