阴超检查中隐私认知及隐私泄露后心理调查

Privacy Cognition in Transvaginal Ultrasound and Psychological Investigation after Privacy Leakage

目的:调查阴超检查中隐私认知及隐私泄露后的心理,并分析采取护理措施后的效果。方法:随机选取自2020年2月—2020年8月于我院接受妇产科侵入性检查患者共600例进行调查,按照数字随机的方式将患者随机分为给予常规护理方式进行检查的对照组(n=300),以及给予心理干预+健康宣教+妇检安全裤裙等隐私保护措施方式的试验组(n=300),分析患者隐私泄露的认知度、泄露情况和途径、患者对隐私保护的需求度和采取护理措施后的效果。结果:患者认为属于个人隐私排前三位的分别是隐私部位、化验报告、疾病诊断。所有患者中有435例患者对隐私保护表示非常需求,占比高达72.5%,仅51例(8.5%)患者表示没有需求。所有患者中发生隐私泄露的共有198例,而发生最多的就是与家属交代病情中的泄露。护理后,对照组发生隐私泄露的有176例,隐私泄露率高达58.67%,而试验组发生隐私泄露的只有22例,隐私泄露率仅为7.33%,两组对比差异具有统计学意义,P<0.05。并且试验组在护理后情绪更为稳定、生命体征波动较小、疼痛程度更低,P<0.05。结论:阴超检查中普遍存在着患者隐私泄露的现象,对患者的心理和身体都造成了严重影响,患者很希望医院能重视保护他们的隐私,采取隐私保护的护理方式可以降低隐私泄露率,提高患者的就医质量,促进医患和谐发展,具有重要的临床意义,值得应用与推广。

Objective:To investigate the perception of privacy and the psychology of privacy leaks in the yin ultrasound examination,and to analyze the effects of nursing measures.Methods:A total of 600 patients who underwent invasive examinations in the Department of Obstetrics and Gynecology in our hospital from February 2020 to August 2020 were randomly selected for investigation,and the patients were randomly divided into controls who were given conventional nursing methods for examination according to the number random method Group(n=300),as well as the experimental group(n=300)that gave privacy protection measures such as psychological intervention+health education+women’s check-up safety hakama(n=300)to analyze the awareness of patients’privacy leakage,the situation and ways of leakage,and the patient’s attitude The degree of demand for privacy protection and the effect of taking care measures.Result:The top three items considered by patients to be personal privacy are privacy location,laboratory report,and disease diagnosis.Among all patients,435 patients expressed a great need for privacy protection,accounting for 72.5%, and only 51 patients (8.5%) expressed no need for privacy protection. Among all the patients, there were 198 cases of privacy leaks, and the most frequent case was the leaks in explaining their illnesses to their families. After nursing, there were 176 cases of privacy leakage in the control group, and the privacy leakage rate was as high as 58.67%, while only 22 cases in the experimental group had privacy leakage, and the privacy leakage rate was only 7.33%. The difference between the two groups was statistically significant, P <0.05. And the test group had more stable mood, less fluctuation of vital signs, and lower pain degree after nursing, P <0.05. Conclusion: There is a common phenomenon of patients’ privacy leakage in yin ultrasound examinations, which has a serious impact on the patient’s psychology and body. The patients hope that the hospital will pay attention to protecting their privacy. Taking privacy protection nursing methods can reduce the rate of privacy leakage. Improving the quality of patients’ medical treatment and promoting the harmonious development of doctors and patients are of important clinical significance and worthy of application and promotion.