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目的:探讨妇产科住院患者对隐私保护的需求情况和防护措施。方法:选取浙江省丽水市人民医院妇产科2013年6~8月收治的自愿接受调查的患者80例,采用自行设计调查问卷,由带教老师或护士长发放问卷,患者采取笔答或口述的形式进行回答。结果:57例(71.25%)患者认为身体的某些私密部位属于隐私;40例(50%)患者认为病情属于个人隐私范畴;26例(32.5%)患者将婚育史列为个人隐私范畴;25例(31.25%)患者将个人心理活动列为隐私范畴。调查显示,求诊、询问病史、检查、护理、诊疗过程等均有可能泄露个人隐私。患者隐私被泄露后的心理状况包括:害羞36例,占45%;屈从24例,占30%;持无所谓态度14例,占17.5%;担心疑似泄露对家庭关系造成影响6例,占7.5%。结论:妇产科的各项操作和治疗常涉及患者隐私,护理人员应在护理过程中将尊重病患隐私作为重点工作来抓,及时与患者沟通,提高护理质量和患者满意度,降低医患纠纷。
Objective: To investigate the obstetrics and gynecology inpatients for privacy protection needs and protective measures. Methods: Totally 80 patients voluntarily surveyed from June to August 2013 in Lishui People’s Hospital of Zhejiang Province were enrolled. Questionnaires were designed by self-designed questionnaire. Questionnaires were sent by the teacher or nurse, Form to answer. Results: 57 (71.25%) patients believed that some private parts of the body belonged to privacy; 40 (50%) patients regarded the condition as personal privacy; 26 (32.5%) patients classified the history of marriage and childbearing as personal privacy; Twenty-five patients (31.25%) classified personal psychological activity as privacy. Survey shows that consultation, medical history, examination, care, diagnosis and treatment process are likely to disclose personal privacy. Patient privacy was revealed after the psychological conditions include: shy in 36 cases, accounting for 45%; congenitality in 24 cases, accounting for 30%; indifferent attitude in 14 cases, accounting for 17.5%; worried about suspected leak on family relationships in 6 cases, accounting for 7.5% . Conclusion: Obstetrics and gynecology operations and treatment often involve the privacy of patients, nurses should respect the patient privacy as a key task in the nursing process, timely communication with patients to improve the quality of care and patient satisfaction, reduce the patient dispute.