临床护士的患者隐私保护行为现状及影响因素分析  

Current status and influencing factors of patient privacy protection behavior of clinical nurses

作　　者：刘霞[1] 廖春丽[2] 何悦 李依霖 陈京立[4] Liu Xia;Liao Chunli;He Yue;Li Yilin;Chen Jingli(Gynecology and Obstetrics Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;International Medical Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;International Medical Department,West Hospital District of Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医院妇产科,100730 [2]中国医学科学院北京协和医院国际医疗部,100730 [3]中国医学科学院北京协和医院西院国际医疗部,100730 [4]北京协和医学院护理学院,100144

出　　处：《中华现代护理杂志》2021年第22期3021-3024,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查临床护士患者隐私保护的行为现状,并分析其影响因素。方法采用便利抽样法,于2018年3—4月在全国范围抽取三级医院临床护士进行问卷调查。采用中文版患者隐私保护量表(PPS),通过问卷星电子问卷开展调查,共回收有效问卷1043份,有效回收率为100%。结果1043名临床护士PPS总分为(124.86±12.16)分。得分最高的条目为"您会在必要时使用屏风、隔帘、被单等保护患者隐私"(4.89±0.39)分,得分最低的条目为"您进入患者病房前会先敲门,征求患者同意后再进入"(4.11±1.14)分。多重线性回归分析结果显示,教育程度、科室是护士对患者隐私保护行为的影响因素(P<0.05)。结论临床护士的患者隐私保护行为总体处于较好水平,但个别行为仍有提升空间。建议教学医院应加强承担教学任务高学历护士及手术监护科室护士的患者隐私保护相关教育,制订具体相关带教流程及细则。Objective To investigate the status quo of patient privacy protection behavior of clinical nurses and analyze its influencing factors.Methods Using the convenient sampling method,clinical nurses from tertiary hospitals in China were selected to conduct a questionnaire survey on from March to April 2018.The Chinese version of Patient Privacy Scale(PPS)were used to conduct an investigation through Questionnaire Star electronic questionnaire.A total of 1,043 valid questionnaires were collected,and the effective response rate was 100%.Results The PPS total score of 1043 clinical nurses was(124.86±12.16).The item with the highest score was"You would use screens,curtains and sheets to protect patients'privacy when necessary"(4.89±0.39),while the item with the lowest score was"You would knock on the door before entering the patient's room and enter after asking for the patient's consent"(4.11±1.14).The results of multiple regression analysis showed that education level and department had effects on patients'privacy protection behavior(P<0.05).Conclusions The patient privacy protection behavior of clinical nurses is generally at a good level,but there is still room for improvement in individual behaviors.Teaching hospitals should strengthen education related to patient privacy protection for nurses with higher education degree who undertake teaching tasks and nurses in surgical monitoring departments and formulate specific relevant teaching procedures and detailed rules.

关 键 词：护士 患者隐私 隐私保护 影响因素 

分 类 号：R47[医药卫生—护理学]