住院患者对其权利的认知：马来西亚半岛东海岸一家三级保健医院的横断面调查。

Hospitalised patients' awareness of their rights: a cross-sectional survey from a tertiary care hospital on the east coast of Peninsular Malaysia.

机构信息

Department of Internal Medicine, Faculty of Medicine, International Islamic University Malaysia, PO Box 141, Kuantan 27510, Malaysia.

出版信息

Singapore Med J. 2009 May;50(5):494-9.

PMID:19495519

Abstract

INTRODUCTION

Optimal patient care varies considerably from place to place and is influenced by scientific as well as social developments. The purpose of this study was to investigate awareness and pertinent issues regarding informed consent among hospitalised patients and to determine lapses, in order to improve the standard of care.

METHODS

A questionnaire-based cross-sectional survey was conducted among inpatients at a tertiary care level hospital.

RESULTS

90 percent of patients were aware of their rights, and 85 percent had enough information regarding their illness and modality of treatment. However, treatment options were discussed with 45 percent of cases only, and 65 percent of patients were informed of their duration of treatment. Most of the patients from the surgical group, haemodialysis unit and those with minor ailments were very satisfied with the doctors (92 percent, 86 percent and 96 percent, respectively), as opposed to only 36 percent of cancer patients and 70 percent of acquired immunodeficiency syndrome (AIDS) patients (p-value is less than 0.0001). Almost all patients (99 percent) said that their religious beliefs were respected by the staff and they had no problems in accessing them in times of need. Informed consent was obtained by the doctor in 98 percent of cases and by the nurse in two percent. 98 percent of the patients mentioned that their treatments/examinations were conducted in an atmosphere of privacy and that their personal information was kept confidential by their doctors.

CONCLUSION

Patients were reasonably informed about their illness. Their privacy and religious beliefs were duly respected. Treatment options and the duration of treatment were not discussed with all patients. Cancer and AIDS patients were less satisfied with the attending staff. The results suggest that there is a need for periodic surveys of patient satisfaction with the quality of care.

摘要

简介

最佳的患者护理因地区而异，受到科学和社会发展的影响。本研究旨在调查住院患者对知情同意的认识和相关问题，并确定疏忽之处，以提高护理水平。

方法

在一家三级护理医院对住院患者进行了基于问卷的横断面调查。

结果

90%的患者了解自己的权利，85%的患者对自己的疾病和治疗方式有足够的了解。然而，只有 45%的病例讨论了治疗选择，只有 65%的患者被告知了治疗期限。大多数来自外科组、血液透析单元和患有小病的患者对医生非常满意（分别为 92%、86%和 96%），而只有 36%的癌症患者和 70%的艾滋病（AIDS）患者（p 值小于 0.0001）。几乎所有患者（99%）表示，他们的宗教信仰受到医护人员的尊重，在需要时他们没有问题可以求助于他们。知情同意是由医生在 98%的病例中获得的，由护士在 2%的病例中获得的。98%的患者提到他们的治疗/检查是在隐私的氛围中进行的，他们的个人信息由医生保密。