医学生对患者安全认知的调查与分析

A survey and analysis on the cognitive status of clinical medical students and nursing students to patient safety

目的 对比分析临床医学专业实习学生与护理学专业实习学生对于患者安全的整体认知情况,为针对不同专业学生的患者安全培训教育提供参考.方法 便利选取天津市和石家庄市两地医学院校的533名临床医学专业学生和护理学专业学生作为研究对象,采用自行编制的问卷进行调查.结果 两个专业学生对患者安全认知的总得分为（3.29 ±0.50）分,各维度得分由高到低分别为态度（3.67±0.56）分,行为（3.37±0.60）分,知识（2.93±0.77）分.其中临床医学专业学生总得分为（3.09 ±0.52）分,知识、态度、行为各维度得分依次为（2.63±0.81）分、（3.53±0.57）分和（3.26±0.62）分;护理学专业学生总得分为（3.41±0.45）分,知识、态度、行为各维度得分依次为（3.12 ±0.67）分、（3.76±0.52）分和（3.45±0.57）分.临床医学专业学生总分及各维度得分均低于护理学专业学生,差异均具有统计学意义（均P ＜0.01）.结论 临床医学专业学生与护理学专业学生对患者安全的认知情况都不容乐观,且存在差异,其中知识和行为的差异更为明显,医学院校及教学医院应当重视患者安全教育,通过增进跨专业合作学习提高不同专业医学生的患者安全认知.

Objective To investigate the cognitive status of clinical medical students and nursing students for patient safety and analyze the difference between them,and to supply reference for the patient safety education.Methods Using convenience sampling method,533 students in Tianjin and Shijiazhuang were investigated by a self-designed questionnaire.Results The patient safety cognitive total score was （3.29 ± 0.50）,the scores of three dimensions from high to low were attitude （3.67 ± 0.56）,behavior and practice （3.37 ± 0.60）,knowledge （2.93 ± 0.77）.The overall cognition and three dimensions score of the clinical medical students were all lower than those of the nursing students,they all showed statistical difference （all P〈0.01）.The overall score of the clinical medical students was （3.09 ± 0.52）,and the scores of three dimensions were （2.63 ±0.81）,（3.53 ±0.57） and （3.26 ±0.62）.The overall score of the nursing students was （3.41 ± 0.45）,and the scores of three dimensions were （3.12 ± 0.67）,（3.76 ± 0.52） and （3.45 ± 0.57）.Conclusions There was a great difference between the clinical medical students and nursing students for patient safety cognition,especially in the knowledge,behavior and practice.The medical school and teaching hospital should strengthen the patient safety education,and explore the inter-professional education for improving the cognition of the medical students.