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儿科医护人员对家属参与患儿安全管理的认知现状及影响因素分析

Status and influencing factors of pediatric healthcare professionals' perceptions of family's participation in children's safety management

摘要:

目的 调查儿科医护人员对家属参与患儿安全管理的认知现状并分析影响因素,为促进其鼓励家属参与提供参考建议.方法 采用《医护人员对患者参与患者安全认知现状调查问卷》,于2016年6—8月对某三级儿童医院儿科医护人员238人进行整体认知和现存困难认知调查,并通过多元线性回归分析了解影响其整体认知的因素.结果 儿科医护人员整体认知水平总均分为(60.12±8.94)分,其中知识维度条目均分为(4.00±0.74)分、参与有利维度为(3.96±0.70)分、参与不利维度为(2.50±0.84)分.不同科室和有无接受过患者参与患者安全理念方面的教育或培训的医护人员整体认知得分差异有统计学意义(P<0.05).患者参与患者安全现存困难被认为主要在于患者对治疗效果期望过高、媒体报道造成公众对医方的不信任及误解以及公众难以清楚理解医疗不确切性或风险.结论 本研究儿科医护人员对家属参与患儿安全管理整体认知水平有待提高.建议医院加强对医护人员进行"患者参与患者安全"理念和知识的教育培训,在全院营造鼓励家属参与患儿安全管理的文化氛围,并做好对家属的健康宣教.

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Objective To investigate the cognition status of pediatric healthcare professionals about family's participation in their sick children's safety management, and to analyze its influencing factors, so as to provide references to promote family's participation effectively. Methods From July to August 2016, a questionnaire of healthcare professionals' perceptions about "patient for patient safety (PFPS)" was used to investigate 238 pediatric healthcare professionals who were from a class Ⅲ children's hospital about their overall cognition level and their attitudes towards current difficulties. The multiple regression analysis was used to analyze the factors affecting the overall perception level. Results The pediatric healthcare professionals scored (60.12±8.94) in their overall cognitive level, among which, (4.00±0.74) in knowledge level, (3.96±0.70) in their perception level about the favorable role of patients' family's participation, and (2.50±0.84) in their perception about the unfavorable role of participation. There was a statistically significant difference in the overall cognition scores of the pediatric healthcare professionals from different departments and whether or not they had received education or training about PFPS (P< 0.05). Pediatric healthcare professionals' perception about the existing main difficulties about PFPS were that "patients' expectations with treatment were too high", and "the media's report made the public mistrust and misunderstand the medical industry", as well as, "the public were unable to clearly understand the medical's uncertainty or risk". Conclusions The total cognitive level of pediatric healthcare professionals about family's participation in sick children's safety management needs enhancing. It is suggested that hospitals should strengthen the training plans about PFPS for pediatric healthcare professionals and create a patient safety culture atmosphere in various departments, in order to effectively promote family's participation. It is also suggested that the hospital should try their best to do a good job of health education for patients' family. Also the media and the public are expected to correctly understand the medical industry, and jointly help to build a harmonious relationship between doctors and patients.

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