摘要
Background and aims： Patient plays an important role in preventing the adverse events （AEs） and harms occurredduring medical care; however, the incidence of AEs and harms can be effectively reduced if patients actively andsuccessfully participate in their care. Organizations of safety management for patients and authorities of health systemagree that involve patients into the management on their care can obviously prevent medical error; whereas, the attitudesand actual actions of hospitalized patients for the view remain controversial. In this study, we aimed to explored patients’attitudes and actual actions participate in their own safety and whether patients with positive attitude are more likely totake action than others？ Methods： In the present cross-sectional study, convenience sampling method was adopted torecruit a sample size consist of 2052 patients from two teaching hospitals affiliated to Medical College of ShantouUniversity located in Shantou China. We used a questionnaire consist of 7 items to investigate the attitudes and actualactions of hospitalized patients participating in their care. Then the actual actions between patients with positive andnegative attitudes were analyzed using descriptive analysis and independent t-test. Results： Most patients have a positiveattitude on engaging in their safety management activity. Although most patients have positive attitude, fewer can takeactual actions. Patients with positive attitude are more likely to take actions, but there are not statistical significantdifference for positive and negative attitudes patients in terms of some items, such as “Ask doctor or nurse to wash theirhands” and “Ask nurse or doctor to confirm your identity”, etc. Conclusions： Positive attitude is an important factor thatimproves the rate of participating in the medical care activity for patients. Based on the results of current study,interventions that improve the attitude of patient are needed to improve patients’ attitude and what is more important ishow to convert attitude into actual action. When making plan of interventions, cultural background of patients need to betaken into account.
背景与目的：患者参与在预防医疗实践相关不良反应和伤害中有举足轻重的作用,积极且成功的患者参与可有效降低不良反应与伤害的发生率.患者安全管理机构及卫生行政部门一致认为,患者参与自我医疗管理可显著预防医疗差错.然而住院患者对这一观点的态度和想法的实践转化情况仍然存争议.本研究旨在探析患者对参与自我医疗管理所持的态度及采取实际行动的情况,以及态度积极的患者是否更愿意将想法转化为实践.方法：本项横断面研究采用便利抽样法从汕头大学医学院两所附属教学医院招募了2052名患者.我们采用了包含7个条目的调查问卷调查研究对象对参与自我医疗活动所持的态度及采取实际行动的情况.本研究采用描述性分析和独立t检验比较分析了持积极和消极态度的患者采取实际行动的差异.结果：调查结果显示,多数患者对参与自我安全管理活动持积极态度,但较少将想法付诸实践.持积极态度的患者更有可能采取实际行动,但持不同态度的患者在诸如“嘱医生或护士洗手”与“嘱护士或医生确认您的身份”等方面的差异无统计学意义.结论：对参与自我安全管理活动持积极态度是提高患者参与自我医疗活动的重要因素.基于本次研究结果,我们认为需要采取针对性的干预措施以改变患者参与自我安全管理的态度,并学会如何实现想法的实践转化.此外,在制定干预策略时,还需要考虑患者的文化背景.
作者简介
Correspondence to： Jun Shen, The First Affiliated Hospital of Chongqing Medical University; No. 1 YuanjiagangYouyi Road, Yuzhong District, 400016, Chongqing, China. E-mail address： junshency@yahoo.com.cn.
