摘要
目的了解血透护士对患者隐私保护现状并探讨其影响因素。方法采用患者隐私量表,对全国78所医院的960名血透室护士进行问卷调查。结果护士对患者隐私保护认知得分为126.67±12.72,行为得分115.31±17.40。超过60%护士认为患者隐私被暴露与科室物资配置不全、护士人力资源不足有关,45.10%认为与科室缺乏患者隐私保护相关制度有关。多元回归结果显示,年龄、培训经历、培训意愿是护士对患者隐私保护认知的影响因素;职务、培训经历、法律法规了解程度是护士对患者隐私保护行为的影响因素(均P<0.01)。结论护士对患者隐私保护的认知与行为不一致,隐私保护行为不足与科室物资配置不足、缺乏相关制度、培训不足、对法律法规了解程度低以及管理者未起到很好的示范作用有关。应不断改进上述因素,将护士的认知转化为实际行动,同时应完善科室制度和物资配置,为血透患者隐私保护提供保障。
Objective To understand the status of patient privacy protection by hemodialysis nurses and to explore the influencing factors.Methods Totally,960 hemodialysis nurses from 78 hospitals across China were investigated with the Patient Privacy Scale.Results Nurses' perception scores of patient privacy protection was 126.67±12.72,and nurses' behavior scores was 115.31±17.40.More than 60.0%of the nurses believed that patient privacy breach was due to inadequate material supplies in the department they worked with,and shortage of nurses,and 45.10%blamed the absence of patient privacy protectioncode in the department they worked with for patient privacy breach.Multi-variate linear regression analysis showed that,ages,training experience,and training intention were the influencing factors of nurses' perception of patient privacy protection;positions,training experience and knowledge level of privacy protection laws contributed to influence nurses' behaviors of patient privacy protection(P<0.01 for all).Conclusion There were inconsistency in nurses' perception and behavior of patient privacy protection.Insufficient privacy protection behaviors are caused by inadequate material supplies,absence of patient privacy protection code,inadequate training for nurses,poor knowledge level of privacy protection laws,managers' failure to play a good exemplary role.Measures should be taken to constantly improve the above mentioned factors,turn nurses' perception into privacy protection behaviors,establish patient privacy protection code,and provide adequate materials for nurses,in an effort to guarantee privacy protection practice by hemodialysis nurses.
作者
黄静雅
莫雅文
孙春艳
宋利
符霞
Huang Jingya;Mo Yawen;Sun Chunyan;Song Li;Fu Xia(School of Nursing,Southern Medical University,Guangzhou 510515,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第11期39-42,共4页
Journal of Nursing Science
基金
广东省护理学会护理科研指令性课题(gdhlxueh2019zx102)
关键词
血液透析
护士
患者隐私
隐私保护
认知
行为
影响因素
hemodialysis
nurses
patient privacy
privacy protection
perception
behaviors
influencing factors
