泌尿外科门诊环境中陪护人员的使用：“以患者为中心”服务中患者的选择
Use of chaperones in the urology outpatient setting: a patient's choice in a "patient-centred" service.
作者信息
Sinclair Andrew M, Gunendran Thiru, Pearce Ian
机构信息
Department of Urology, Manchester Royal Infirmary, Manchester, UK.
出版信息
Postgrad Med J. 2007 Jan;83(975):64-5. doi: 10.1136/pgmj.2006.047134.
BACKGROUND
The use of a chaperone in the clinical setting is a much debated subject. There have been many guidelines and papers written on this topic, but always from the medical profession's point of view. For the first time, this survey focuses on the opinion of the patient.
METHODS
800 consecutive patients attending the urology outpatient clinic were asked to complete a questionnaire on basic patient demographics and their opinions on chaperones.
RESULTS
Of 709 patients who completed the questionnaires, 553 (78%) were male. Overall, 535 (75.5%) patients did not want a chaperone present. Only 66 (42%) females stated a preference for the presence of a chaperone. Of the 174 patients requesting a chaperone, 102 (59%) patients wished the role to be taken by a friend or family member. 90% of these patients attended with the appropriate person.
CONCLUSIONS
Most patients do not want a chaperone present for intimate examinations. Most women do not wish to have a chaperone present. Of those who do wish to have a chaperone present, more than half want a family member or friend to fill the role. This would be against current guidelines. However, in a "patient-centred" service, these results should be taken into consideration.
背景
在临床环境中使用陪护人员是一个备受争议的话题。关于这个主题已经有很多指南和论文，但总是从医学专业的角度出发。本次调查首次聚焦于患者的意见。
方法
连续邀请800名到泌尿外科门诊就诊的患者填写一份关于患者基本人口统计学信息以及他们对陪护人员看法的问卷。
结果
在709名完成问卷的患者中，553名（78%）为男性。总体而言，535名（75.5%）患者不希望有陪护人员在场。只有66名（42%）女性表示希望有陪护人员在场。在174名要求有陪护人员的患者中，102名（59%）患者希望由朋友或家人担任这一角色。这些患者中有90%是与合适的人一起来就诊的。
结论
大多数患者在进行私密检查时不希望有陪护人员在场。大多数女性也不希望有陪护人员在场。在那些希望有陪护人员在场的患者中，超过一半希望由家庭成员或朋友来担任这一角色。这与现行指南相悖。然而，在“以患者为中心”的服务中，应考虑这些结果。
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