Rahmani Azad, Ghahramanian Akram, Alahbakhshian Atefeh
School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2010 Winter;15(1):14-9.
Respect to patients' autonomy is a cornerstone of medical ethics and nurses have a key role in respecting patients' autonomy. In review of Iranian literature, there is no study investigating the respect to patients' autonomy during nursing cares. The aim of the present study was to compare nurses and patients' perceptions regarding respecting to patients' autonomy during nursing care.
This study had a comparative descriptive design and conducted in 2008. The study population was consisted of all nursing staff (n = 79) working in three related hospitals of Tabriz University of Medical Science using census sampling. Also, 187 hospitalized patients in these hospitals participated with convenience sampling. To assess the respecting to patients' autonomy, two parallel questionnaires were prepared. Data analysis was done in SPSS using Mann-Whitney and Kruskal-Wallis tests and Spearman correlation coefficient.
Nurses reported that they respected to patients' autonomy, but patients believed that their autonomy was not respected. Also, there was a significant statistical relation between perception of health status, need for nursing care, and age of patient and their report of respect to their autonomy.
There is an exiting difference in viewpoint of nurses and patients regarding respecting to patient autonomy. But, because of insufficient evidence more studies are recommended.
尊重患者自主权是医学伦理的基石，护士在尊重患者自主权方面发挥着关键作用。在对伊朗文献的回顾中，尚无研究调查护理过程中对患者自主权的尊重情况。本研究的目的是比较护士和患者对护理过程中尊重患者自主权的看法。
本研究采用比较描述性设计，于2008年进行。研究人群包括大不里士医科大学三所相关医院的所有护理人员（n = 79），采用普查抽样。此外，这些医院的187名住院患者采用方便抽样参与研究。为评估对患者自主权的尊重情况，编制了两份平行问卷。使用SPSS进行数据分析，采用曼-惠特尼检验、克鲁斯卡尔-沃利斯检验和斯皮尔曼相关系数。
护士报告称他们尊重患者自主权，但患者认为他们的自主权未得到尊重。此外，患者对健康状况的认知、对护理的需求以及年龄与他们对自身自主权尊重的报告之间存在显著的统计学关系。
护士和患者在尊重患者自主权的观点上存在差异。但是，由于证据不足，建议进行更多研究。
