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沙特阿拉伯卡西姆地区急诊科穆斯林女性在延迟医疗护理方面的性别偏好。

Muslim female gender preference in delaying the medical care at emergency department in Qassim Region, Saudi Arabia.

作者信息

Alqufly Amal Ebrahem, Alharbi Basil Mohammed, Alhatlany Khawlah Khaled, Alhajjaj Fahad Saleh

机构信息

Medical Interns at Unaizah College of Medicine, Qassim University, Buraydah, Saudi Arabia.

Medical Student at Qassim University, Buraydah, Saudi Arabia.

出版信息

J Family Med Prim Care. 2019 May;8(5):1658-1663. doi: 10.4103/jfmpc.jfmpc_141_19.

Abstract

BACKGROUND

Hospitals are responsible for considering patients religious beliefs and spiritual ideas as part of their rights in emergency department (ED), where the urgent seek of medical intervention usually needed, these rights can be sometimes violated. This study is designed to take female Muslim patients view and their consideration when it comes to receiving health care from the same physician's gender or sex.

MATERIALS AND METHODS

This research is a cross-sectional study, which was conducted at three hospitals in Saudi Arabia, Qassim region. The collection of the data by using a questionnaire distributed to 393 patients and visitor in ED, mostly female which represent 87.5% of the entire sample in this study.

RESULTS

Indicated that more than half of female patient prefer to be seen by female physicians. The same preference with a male when the case involves one of their first-degree female relatives with exceptions in life-threatening cases, where more than half of the patients have not choose gender preference and want to rely on the available physician in ED either male or female physician.

CONCLUSION

The study result shows an obvious considerable preference of the presence of a female physician in the ED to handle gastrointestinal disease, clinical assessment, non-life-threatening cases, and physical examination. However, in few situations such as life-threatening, psychiatric illnesses, and history taking, there was no preference for female over male physician. The religion was the main factor that affects in participants decisions. The intervention from the religious leader is mandatory to correct patient's beliefs, therefore, improve the outcome.

摘要

背景

医院有责任将患者的宗教信仰和精神理念视为其在急诊科的权利的一部分,在急诊科通常需要紧急寻求医疗干预,而这些权利有时会受到侵犯。本研究旨在了解女性穆斯林患者在接受医疗护理时对医生性别方面的看法和考虑因素。

材料与方法

本研究为横断面研究,在沙特阿拉伯卡西姆地区的三家医院开展。通过向急诊科的393名患者及访客发放问卷来收集数据,其中大多数为女性,占本研究整个样本的87.5%。

结果

表明超过一半的女性患者更愿意由女医生诊治。当病例涉及一级女性亲属时,她们对男医生的偏好相同,但在危及生命的病例中除外,此时超过一半的患者没有性别偏好,希望依靠急诊科现有的医生,无论是男医生还是女医生。

结论

研究结果显示,在急诊科,女性患者明显更倾向于由女医生处理胃肠道疾病、进行临床评估、处理非危及生命的病例以及进行体格检查。然而,在少数情况下,如危及生命的情况、精神疾病以及病史采集时,患者对女医生的偏好并不高于男医生。宗教是影响参与者决策的主要因素。宗教领袖的干预对于纠正患者的信仰从而改善结果是必不可少的。

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