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住院患者对领地和个人空间侵犯的感知。

The perception of territory and personal space invasion among hospitalized patients.

机构信息

Department of Collective Health, Faculty of Medicine Jundiaí, Jundiaí, São Paulo, Brazil.

School of Nursing, University of Campinas, Campinas, São Paulo, Brazil.

出版信息

PLoS One. 2018 Jun 13;13(6):e0198989. doi: 10.1371/journal.pone.0198989. eCollection 2018.

DOI:10.1371/journal.pone.0198989
PMID:29897984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5999288/
Abstract

OBJECTIVES

  1. To identify the patient's perception of invasion of territorial and personal space and 2) to evaluate whether personal characteristics, housing conditions and characteristics of the hospital unit affect this perception.

METHODS

Analytical, cross-sectional and quantitative study. An adapted version of the "Anxiety Due to Territory and Space Intrusion Questionnaire" was applied with patients hospitalized in the internal medicine and maternity wards and in the ward for patients with private health insurance of a university hospital in the state of São Paulo.

RESULTS

The sample consisted of 300 patients. The mean total score of the questionnaire administered was 143.58 (SD = 18.88). The mean subscale scores for territorial space and personal space invasion were 89.10 (SD = 15.29) and 54.48 (SD = 10.58), respectively. The invasion of territorial space differed significantly between patients with and without children (p = 0.02) and for the number of people living in the residence (p < 0.01).

CONCLUSIONS

Attitudes of the nursing staff, such as touching the patient's possessions without permission and exposing the patient, caused discomfort and violated patient privacy. Patients who were lonelier and had more privacy at home perceived greater invasion of their territorial space by the nursing professionals.

摘要

目的

1)识别患者对侵犯领地和个人空间的感知,2)评估个人特征、住房条件和医院科室特征是否影响这种感知。

方法

分析性、横断面和定量研究。对圣保罗州一所大学附属医院内科、妇产科和私人医疗保险病房的住院患者应用了经过改编的“因领地和空间入侵而产生的焦虑问卷”。

结果

该样本由 300 名患者组成。所使用问卷的总评分平均值为 143.58(标准差=18.88)。领地空间和个人空间入侵的平均子量表评分为 89.10(标准差=15.29)和 54.48(标准差=10.58)。有孩子和没有孩子的患者(p=0.02)以及居住人数(p<0.01)之间的领地空间入侵存在显著差异。

结论

护理人员未经允许触摸患者的物品和暴露患者等行为会引起不适并侵犯患者隐私。那些更孤独且家中隐私空间更大的患者会感到护理人员对其领地空间的侵犯更严重。

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Psychol Res Behav Manag. 2016 Sep 23;9:263-275. doi: 10.2147/PRBM.S114870. eCollection 2016.
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Patients' perception of dignity in an Italian general hospital: a cross-sectional analysis.意大利一家综合医院患者对尊严的认知:横断面分析。
BMC Health Serv Res. 2015 Jan 28;15:41. doi: 10.1186/s12913-015-0704-8.
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Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study.营造合乎伦理的环境可改善拥挤急诊部的患者隐私和满意度:一项准实验研究。
BMC Med Ethics. 2013 Feb 20;14:8. doi: 10.1186/1472-6939-14-8.
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Patients' attitudes towards privacy in a Nepalese public hospital: a cross-sectional survey.尼泊尔一家公立医院中患者对隐私的态度:一项横断面调查。
BMC Res Notes. 2013 Jan 29;6:31. doi: 10.1186/1756-0500-6-31.
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[Patients' perception about privacy in the hospital].[患者对医院隐私的认知]
Rev Bras Enferm. 2012 Jul-Aug;65(4):621-9. doi: 10.1590/s0034-71672012000400011.
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Patients' expectations of the maintenance of their dignity.患者对维护自身尊严的期望。
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Patient dignity in an acute hospital setting: a case study.急症医院环境中的患者尊严:一项案例研究。
Int J Nurs Stud. 2009 Jan;46(1):23-36. doi: 10.1016/j.ijnurstu.2008.08.003. Epub 2008 Sep 14.
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[Nursing care and the invasion of the patient's privacy: an ethical-moral question].[护理与患者隐私侵犯:一个伦理道德问题]
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[Cultural meaning of humanized care at intensive care units: "lots of words, little action"].[重症监护病房中人文关怀的文化意义:“言多,行少”]
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