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护士与住院患者对精神科患者权利的态度。

Attitudes of Nurses and Hospitalized Patients about the Rights of Psychiatric Clients.

作者信息

Ebrahimi Sedigheh, Salehi Dehno Easa

机构信息

Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Psychiatry. 2018 Oct;13(4):274-279.

PMID:30627201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6320377/
Abstract

In recent years, protecting the rights of hospitalized psychiatric clients became a key issue in relationship-building and collaborative caretaking. Despite its importance, a few researches have been conducted on assessing the attitudes and expectations of clients and nurses about this issue. This study aimed to compare the nurses and psychiatric clients' attitudes towards rights of hospitalized clients. In this cross sectional descriptive study, 60 nurses, and 100 clients, who were admitted to various wards of a psychiatric hospital in Shiraz, were included. Data were collected using 2 questionnaires that were designed for nurses (22 questions) and patients (29 questions) about the rights of patients. Data were analyzed by descriptive and inferential statistics. The results revealed that most of nurses (55%) and clients (64%) agreed with active participation of the clients in healthcare decision-making. More than half of the clients agreed with the possibility of refusal/withdrawal of the proposed treatment or leaving the hospital despite medical advice. Only 38.3% of nurses agreed with those rules in some clauses (P-value < 0.001). To protect the rights of mentally ill clients, their family, and the society, we should identify weaknesses and shortcomings of the basic rights of this group and make suggestions for their improvement. A legal bill, which covers the rights of mentally ill clients, could be a turning point for improvement of the quality of care as well as increasing clients' satisfaction.

摘要

近年来,保护住院精神科患者的权利成为建立关系和协作护理中的一个关键问题。尽管其很重要,但关于评估患者和护士对该问题的态度及期望的研究却很少。本研究旨在比较护士和精神科患者对住院患者权利的态度。在这项横断面描述性研究中,纳入了设拉子一家精神病院各病房收治的60名护士和100名患者。使用两份分别为护士(22个问题)和患者(29个问题)设计的关于患者权利的问卷收集数据。通过描述性和推断性统计分析数据。结果显示,大多数护士(55%)和患者(64%)赞同患者积极参与医疗决策。超过一半的患者赞同尽管有医嘱仍有可能拒绝/撤销提议的治疗或离开医院。只有38.3%的护士在某些条款上赞同这些规定(P值<0.001)。为保护精神病患者、其家属及社会的权利,我们应找出该群体基本权利的薄弱环节和不足之处,并提出改进建议。一项涵盖精神病患者权利的法律法案可能是提高护理质量以及提高患者满意度的一个转折点。

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本文引用的文献

1
Patient's rights charter in Iran.伊朗患者权利宪章
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Decision-making models in Japanese psychiatry: transitions from passive to active patterns.日本精神病学中的决策模型:从被动模式到主动模式的转变。
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Patients' and staff members' attitudes about the rights of hospitalized psychiatric patients.患者及工作人员对住院精神科患者权利的态度。
Psychiatr Serv. 2002 Jan;53(1):87-91. doi: 10.1176/appi.ps.53.1.87.
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