江苏省三级医院患者公众教育现状调查

Study of patients public education at tertiary hospitals in Jiangsu province

目的分析患者公众教育的重要性与必要性，探讨患者公众教育的内容和途径。方法于2017年9-10月，以自行设计的问卷，调查江苏省苏南、苏中、苏北共9所三级医院的2224名医、患人员，了解其人口学资料和患者公众教育主题相关问题。运用描述性分析、卡方检验等统计学方法，对数据进行分析。结果部分患者在患者义务、疾病风险、疗效期望、医疗事件归责等方面的认知缺乏理性，有19．9％的患者认为“患者是弱势群体，不应当承担过多义务”；部分患者负性情绪和不健康心理特征明显，有54．4％的医务人员认为“患者的各种角色发生心理冲突导致各种行为矛盾”对诊疗影响很大。结论患者公众教育是避免患者非理性就医的重要途径，需要政府、学校、医院等多方协同推进。

Objective To analyze the importance and necessity of patient public education, and to explore its contents and approaches. Methods From September to October 2017, 2 224 medical workers and patients from 9 tertiary public hospitals among southern, central and northern Jiangsu province were surveyed with the self-designed questionnaire. Demographic data of respondents and their views related to patient public education topics were surveyed. Descriptive analysis and ehi-square test were used to analyze the data. Results Some patients were irrational in their cognition of patients＇ obligations, risk of disease, expectation of curative effect, and responsibility for medical malpractice. 19. 9% of them held that ＂patients were vulnerable groups who should not carry much obligations＂. Some of them were found with obvious negative emotions and unhealthy psychological characteristics. 54. 4% of the medical workers held that ＂psychological conflicts among the various roles of patients lead to various behavioral contradictions＂ , which obviously affected their medical work. Conclusions Patient public education can be an important approach to avoid irrationality of patients when they see doctors. Patient public education is an education activity against irrational cognition, psychology and behavior of the patients at large. It requires an orchestrated effort by the governments, schools, hospitals among other stakeholders.