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医护人员医疗告知知信行现状及影响因素分析

Knowledge, attitude, practice on medical disclosure and influencing factors among medical staff

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【作者】 杜广平李萍刘克坚侯铭潘丝娜高雅萱钟红梅

【Author】 Du Guangping;Li Ping;Liu Kejian;Hou Ming;Pan Sina;Gao Yaxuan;Zhong Hongmei;Department of Hepatobiliary Surgery, The First Affiliated Hospital of Medical School of Shihezi University;

【通讯作者】 李萍;

【机构】 石河子大学医学院第一附属医院肝胆外科石河子大学医学院石河子大学医学院第一附属医院医务部新疆维吾尔自治区人民医院护理部新疆军区总医院

【摘要】 目的 调查分析医护人员医疗告知知信行现状及影响因素,为促进医疗告知质量,保障患者权利提供参考。方法 应用自制的医护人员医疗告知知信行问卷对新疆3所三级甲等医院的3 329名医护人员进行调查。结果 医护人员医疗告知知信行问卷总均分(121.45±15.41)分,知识、态度、行为各维度得分为(4.71±0.84)分、(53.98±9.49)分、(62.77±8.44)分;共2 425人(72.8%)了解医疗告知,715人(21.5%)对医院医疗告知相关管理制度非常了解,730人(21.9%)非常满意医院的医疗告知管理行为;回归分析结果显示,年龄、职业角色、科室、有无参加医疗告知培训是医护人员医疗告知知信行得分的影响因素(均P<0.01)。结论 医护人员医疗告知知信行水平总体较好,但大多数医护人员不太了解医院的医疗告知管理制度,并对管理行为不太满意。医院管理者应重视医疗告知质控,对医护人员进行医疗告知培训、督导和反馈,逐步规范医护人员的医疗告知行为。

【Abstract】 Objective To investigate medical staff′s knowledge-attitude-practice(KAP) on medical disclosure, and to analyze the influencing factors, so as to provide reference for promoting the quality of medical disclosure and protecting patients′ rights.Methods A total of 3329 medical staff from three grade A hospitals in Xinjiang were investigated using a self-designed knowledge, attitude, practice on medical disclosure questionnaire.Results The total average score of the questionnaire was(121.45±15.41), and the subscale score of knowledge, attitude and practice was(4.71±0.84),(53.98±9.49) and(62.77±8.44) respectively.Totally 2 425(72.8%) participants understood medical disclosure, 715(21.5%) were very familiar with the related management system of medical disclosure in hospital, 730(21.9%) were very satisfied with the management behavior of medical disclosure.Regression analysis showed that, age, occupational role, working department and whether had participated in medical disclosure training were the influencing factors of medical staff′s KAP score on medical disclosure(P<0.01 for all).Conclusion Medical staff′s KAP on medial disclosure is generally good.However, most medical staff don′t know the medical disclosure management system in hospital, and are not satisfied with the management behavior.Hospital managers should pay attention to quality control of medical disclosure, and related training, supervision and feedback should be conducted for medical staff, so as to standardize their medical disclosure behavior gradually.

【基金】 石河子大学研究生教育教学改革项目(2019Y-JGSJ03)
  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2022年07期
  • 【分类号】R47
  • 【下载频次】1026
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