患者隐私保护知识调查及培训对策研究

Investigation and Training Countermeasures of Patient Privacy Protection Knowledge

目的探讨泌尿外科护理人员对患者隐私保护相关知识知晓情况及培训方法。方法选择2014年5月至2015年5月在我院泌尿科接受治疗的300例泌尿系统患者及16名护理工作人员,对16名护理人员进行对患者隐私保护相关知识调查,对300例泌尿系统患者及16名护理工作人员进行隐私保护状况调查。结果护理人员对患者隐私保护相关知识知晓水平为43.75%。不同性别、年龄组、职称、当前工作岗位对患者隐私保护相关知识知晓率差异比较无统计学意义(P>0.05);但接受过对患者隐私保护培训的护理人员对患者隐私保护相关知识知晓率显著高于未接受过对患者隐私保护培训的护理人员,差异具有统计学意义(P<0.05)。护理人员对患者隐私保护情况调查结果:曾有7(43.75%)人不慎将患者的隐私泄露,曾有10(62.50%)人在教学活动中未征求患者的同意,有11(68.75%)人未能自觉保护患者的隐私,曾有4(25.00%)人在公共场合议论患者的隐私,有12(75.00%)人未教育学生保护患者的隐私。泌尿外科患者隐私状况调查结果:有260(89.04%)例患者知晓自己拥有隐私权,具有较高的水平;127(43.49%)例患者介意教学观摩;111(38.01%)例患者曾发生隐私泄露情况;193(66.10%)例患者不愿向家属泄露隐私;213(72.95%)例患者在做检查时予以遮挡;275(94.18%)例患者不愿泄露自己的隐私;187(64.04%)例患者希望护理人员更尊重自己的隐私。结论较多泌尿外科护理人员对患者隐私保护相关知识缺乏了解,隐私保护状况欠佳,针对相关因素制定相应培训对策,以提高护理人员的相关知识掌握水平,降低对患者隐私的侵犯。

Objective To investigate the awareness of patient privacy protection knowledge and training methods among urological nurses. Methods A total of 300 patients with disease of urinary system who received treatment in our hospital from May, 2014 to May, 2015 and 16 nurses were included in our study. 16 Nurses received investigation of patient privacy protection knowledge, and the privacy protection status quo investigation was conducted among 300 patients and 16 nurses. Results The awareness rate of patient privacy protection knowledge of nurses was 43.75%. No statistical difference of the awareness rate was found between nurses in different groups of gender, age, title and current work（P0.05）; but nurses who received training on patient privacy protection had significantly higher awareness rate of patient privacy protection knowledge than nurses who did not receive training, and the difference was statistically significant（P0.05）. Findings of investigation on nurses＇ protection of patients＇ privacy： 7 nurses（21.87%） accidentally leaked the privacy of patients, 10 nurses（31.25%） did not seek the consent of the patients in teaching activities, 11 nurses（68.75%） failed to protect patient privacy consciously, 4 nurses（12.50%） talked about privacy of patients in public, and 12 nurses（37.50%） did not educate their students to protect patient privacy. Findings of investigation on privacy situation of urology patients： 260 patients（89.04%） knew they have privacy right; 127 patients（43.49%） minded teaching demonstration; 111 patients（38.01%） had privacy leak; 193 patients（66.10%） did not want to divulge their privacy to family; 213 patients（72.94%） were sheltered during check-ups; 275 patients（94.18%） did not want to disclose their privacy; and 187 patients（64.04%） want more respect of their privacy from nurses. Conclusion Many urinary surgery nurses lack knowledge of patient privacy protection, and the privacy protection conditions is poor. Appropriate countermeasures should be developed based on related factors so as to improve the awareness level of related knowledge of nurses and reduce the occurrence of violations of patient privacy.