某院医护人员对患者隐私保护的调查

Investigation on the Privacy Protection of Medical Records by Medical Staff in a Hospital

目的调查分析某院肾内科、泌尿外科、血透中心医护人员对患者隐私保护的认知及行为差异,指导临床医护人员做好患者隐私保护工作。方法选取某院肾内科20名医护人员、泌尿外科15名医护人员、血透中心22名医护人员分别接受患者隐私量表调查,并选取每个科室60名患者接受患者隐私量表调查;对比三个科室医护人员及收治患者对患者隐私保护的认知及行为评分差异。结果泌尿外科患者隐私保护的认知评分、行为评分高于肾内科、血透中心,差异具有统计学意义(P<0.05);泌尿外科、肾内科患者对隐私保护的需求评分、满意度评分高于血透中心,差异具有统计学意义(P<0.05);统计分析肾内科科患者隐私暴露事件74例中,主要暴露途径为临床电子病历系统29.73%、同事之间交谈21.62%、健康教育17.57%;泌尿外科的32例隐私暴露事件中,主要暴露途径为临床使用电子病历系统25.00%、同事之间交谈及换药过程中各21.88%;血透中心的58例隐私暴露事件中,主要暴露途径为临床使用电子病历系统25.86%、同事之间交谈27.59%、交接班时15.52%。结论患者隐私泄露途径主要为使用电子病历系统、同事之间交谈、健康教育过程中、换药过程中以及交接班过程中。该院泌尿外科对患者隐私的保护意识最高,保护行为做得最好,泌尿外科患者对隐私保护的需求愿望更强,泌尿外科、肾内科患者对医护人员隐私保护的满意度最高。

Objectives Investigate and analyze the differences in cognition and behaviors of medical staff in the nephrology department,urology department,and hemodialysis center of a hospital on patient privacy protection,and guide clinical medical staff to better protect patient privacy.Methods Selected 20 medical staff in the nephrology department,15 medical staff in the urology department,and 22 medical staff in the hemodialysis center to accept the patient privacy scale survey,and select 60 patients from each department to accept the patient privacy scale(patient version)survey;Comparing the differences in the cognitive and behavioral scores of the medical staff in the three departments on patient privacy protection,and the differences in the cognition and behavioral scores of the admitted patients on patient privacy protection.Results The cognitive scores and behavioral scores of privacy protection of patients in urology department were higher than those in nephrology department and hemodialysis center,and the difference was statistically significant(P<0.05).higher than the hemodialysis center,the difference was statistically significant(P<0.05).Among the 74 private exposure events of nephrology patients,the main exposure routes were clinical electronic medical record system 29.73%,conversation between colleagues 21.62%,health education 17.57%%;among the 32 privacy exposure events in the urology department,the main exposure routes were the clinical use of electronic medical record system 25.00%,the conversation between colleagues 21.88%,and the dressing change process 21.88%;among the 58 privacy exposure events in the hemodialysis center,the main The exposure routes were 25.86%of clinical use of electronic medical record system,27.59%of conversations between colleagues,and 15.52%of shifts.Conclusions The urology department of the hospital had the highest awareness of patient privacy protection and the best protection behavior.Urology patients had a stronger desire for privacy protection.Urology and nephrology patients had the highest satisfaction with the privacy protection of medical staff.