实习前临床医学生与护理学生患者安全知识调查与比较分析  

Investigation and Comparative Analysis of Knowledge on Patient Safety before Internship between Medical Students and Nursing Students

作　　者：何圣红[1] 李远珍[2] 吕建萍[1] 贾鹏丽 张鸣明[3] 

机构地区：[1]皖南医学院附属弋矶山医院护理部,安徽芜湖241001 [2]皖南医学院护理学院,安徽芜湖241002 [3]四川大学华西医院中国循证医学中心,成都610041

出　　处：《中国循证医学杂志》2014年第10期1190-1193,共4页Chinese Journal of Evidence-based Medicine

基　　金：皖南医学院校级教学研究项目(编号:2011jyxm21);<护理学特色专业建设>2013年校自主项目(特色专业)(编号:2013zzxm11)

摘　　要：目的调查并比较实习前本科临床医学生和护理学生关于患者安全知识、态度和技能的现状,为开展患者安全教育提供依据。方法以皖南医学院实习前五年制临床医学本科生和护理本科生为研究对象,进行"患者安全知识、态度、技能"问卷的匿名调查。采用EpiData 3.0软件录入数据,并用SPSS 17.0软件进行统计分析。结果共发放771份问卷,收回有效问卷755份,包括临床医学生320份,护理学生435份。结果显示:护理学生和临床医学生患者安全知识、态度和技能总分均较低;护理学生在"医疗差错相关知识"(P=0.012)、"医疗差错发生后的情感"(P=0.000)、"患者安全的个人态度"(P=0.001)和"有关患者安全你的意向/打算"(P=0.000)4个模块的得分均显著高于临床医学生;临床医学女生和护理女生在"医疗差错发生后的情感"得分上也均显著高于男生(P=0.028和0.000)。结论实习前护理学生和临床医学生患者安全知识均不足,后者更差,应加强针对他们的患者安全知识教育。Objective To investigate and analyze the knowledge, skills and attitudes of clinical medical students and nursing students to patient safety before internship so as to provide evidence for implementation of patient safety curriculum in medical and nursing students. Methods Five-year clinical medical undergraduates and nursing students before internship in the Wannan Medical College were recruited. The questionnaire method was performed to investigate the knowledge, attitudes and skills of patient safety. The data were input using EpiData 3.0 software and were analyzed by SPSS 13.0. Results A total of 771 questionnaires were distributed, of which 320 clinical medical students and 435 nursing students completed the survey. The results showed that, the totals of both kinds of students were low concerning the knowledge, attitudes and skills of patient safety; scores were significantly higher in nursing students than in clinical medical students concerning the items of ＂Knowledge about medical errors＂ （P=0.012）, ＂Feelings about making errors＂ （P=0.000）, ＂Feelings about making errors＂ （P=0.001）, and ＂Personal attitudes to patient safety＂ （P=0.001）. Scores of＂Feel- ings about making errors＂ were significantly higher in female students than in male students. Conclusion Both nursing students and clinical medical students lack the knowledge of patient safety before internship, and the latter lack more. More attention should be paid to the knowledge of patient safety for both clinical medical and nursing students.

关 键 词：患者安全 医学教育 护理教育 调查 

分 类 号：R-4[医药卫生]