医护人员医疗告知知信行现状及影响因素分析

Knowledge,attitude,practice on medical disclosure and influencing factors among medical staff

目的 调查分析医护人员医疗告知知信行现状及影响因素,为促进医疗告知质量,保障患者权利提供参考。方法 应用自制的医护人员医疗告知知信行问卷对新疆3所三级甲等医院的3 329名医护人员进行调查。结果 医护人员医疗告知知信行问卷总均分(121.45±15.41)分,知识、态度、行为各维度得分为(4.71±0.84)分、(53.98±9.49)分、(62.77±8.44)分;共2 425人(72.8%)了解医疗告知,715人(21.5%)对医院医疗告知相关管理制度非常了解,730人(21.9%)非常满意医院的医疗告知管理行为;回归分析结果显示,年龄、职业角色、科室、有无参加医疗告知培训是医护人员医疗告知知信行得分的影响因素(均P<0.01)。结论 医护人员医疗告知知信行水平总体较好,但大多数医护人员不太了解医院的医疗告知管理制度,并对管理行为不太满意。医院管理者应重视医疗告知质控,对医护人员进行医疗告知培训、督导和反馈,逐步规范医护人员的医疗告知行为。

Objective To investigate medical staff′s knowledge-attitude-practice(KAP) on medical disclosure,and to analyze the influencing factors,so as to provide reference for promoting the quality of medical disclosure and protecting patients′ rights.Methods A total of 3329 medical staff from three grade A hospitals in Xinjiang were investigated using a self-designed knowledge,attitude,practice on medical disclosure questionnaire.Results The total average score of the questionnaire was(121.45±15.41),and the subscale score of knowledge,attitude and practice was(4.71±0.84),(53.98±9.49) and(62.77±8.44) respectively.Totally 2 425(72.8%) participants understood medical disclosure,715(21.5%) were very familiar with the related management system of medical disclosure in hospital,730(21.9%) were very satisfied with the management behavior of medical disclosure.Regression analysis showed that,age,occupational role,working department and whether had participated in medical disclosure training were the influencing factors of medical staff′s KAP score on medical disclosure(P<0.01 for all).Conclusion Medical staff′s KAP on medial disclosure is generally good.However,most medical staff don′t know the medical disclosure management system in hospital,and are not satisfied with the management behavior.Hospital managers should pay attention to quality control of medical disclosure,and related training,supervision and feedback should be conducted for medical staff,so as to standardize their medical disclosure behavior gradually.