伊朗马赞德兰省医生对医学伦理原则的遵守情况。
Adherence to Principles of Medical Ethics Among Physicians in Mazandaran Province, Iran.
作者信息
Ghaderi Ahmad, Malek Farhad, Mohammadi Mohammad, Rostami Maskopaii Somayeh, Hamta Amir, Madani Seyyed Abdollah
机构信息
Medical Ethics PhD Candidate, Medical Ethics and History of Medicine Research Center and Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Internal Medicine Department, Kowsar Hospital, Semnan University of Medical Sciences, Semnan, Iran.
出版信息
Arch Iran Med. 2018 Jan 1;21(1):19-25.
BACKGROUND
Considering that medical ethics is an applied subject providing systematic solutions to help physicians with moral issues, this research aimed to evaluate adherence to the principles of medical ethics among physicians on the basis of attitude of physicians of Mazandaran province.
METHODS
This cross-sectional study was conducted in Mazandaran province, Iran during 2015. A researcher-made questionnaire was used for data collection. The questionnaire was first completed by 40 physicians and its reliability was confirmed by obtaining a Cronbach's alpha coefficient equal to 0.818. Its validity was confirmed by medical ethics experts. Therefore, the questionnaire was reliable and valid. Analytical and descriptive analysis were performed.
RESULTS
According to our findings, there is a significant correlation between some of variables of medical ethics principles. The results show that adherence to indicators of beneficence, non-maleficence and justice has been almost good; however, physicians' ethical behaviors which pertain towards the principle of autonomy have not been acceptable. There was not any significant difference in adherence to the principles of autonomy, beneficence and non-maleficence, and justice on the basis of sex, residency, education and occupation.
CONCLUSION
According to the present study, more training is required to improve physicians' adherence to the principles of medical ethics .
背景
鉴于医学伦理学是一门应用学科，旨在提供系统的解决方案以帮助医生解决道德问题，本研究旨在基于马赞德兰省医生的态度评估医生对医学伦理原则的遵守情况。
方法
本横断面研究于2015年在伊朗马赞德兰省进行。采用研究者自行编制的问卷进行数据收集。问卷首先由40名医生完成，通过获得等于0.818的克朗巴赫α系数确认其信度。其效度由医学伦理专家确认。因此，该问卷可靠且有效。进行了分析性和描述性分析。
结果
根据我们的研究结果，医学伦理原则的一些变量之间存在显著相关性。结果表明，对行善、不伤害和公正指标的遵守情况几乎良好；然而，医生在自主原则方面的道德行为并不令人满意。在自主、行善、不伤害和公正原则的遵守方面，基于性别、住院医师培训、教育程度和职业没有显著差异。
结论
根据本研究，需要更多培训以提高医生对医学伦理原则的遵守情况。
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