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患者对医疗差错和医疗并发症了解吗?利雅得一家三级医院的横断面研究。

Are patients knowledgeable of medical errors and medical complications? A cross-sectional study at a tertiary hospital, Riyadh.

作者信息

Alanizy Butoul Alshaish, Masud Nazish, Alabdulkarim Aljawaharah Abdulaziz, Aldihan Ghada Abdulaziz, Alwabel Reema Abdullah, Alsuwaid Shikah Mohammed, Sulaiman Ihab

机构信息

Medical Students, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdullah International Medical Re-Search Center, Riyadh, Saudi Arabia.

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdullah International Medical Re-Search Center, Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2021 Aug;10(8):2980-2986. doi: 10.4103/jfmpc.jfmpc_2031_20. Epub 2021 Aug 27.

Abstract

BACKGROUND

Basic understanding of medical errors and medical complications is essential to ensure patient safety. Our aim in this study was to assess whether patients have sufficient knowledge of medical errors and medical complications and to identify the factors that influence their knowledge.

METHODS

A cross-sectional study was conducted with 400 patients with a scheduled appointment at King Abdulaziz Medical City from 2019 to 2020. A self-administered validated questionnaire was developed by the coinvestigators. The first section focused on demographic information, and the second contained 17 scenarios to assess the knowledge of the patients. The data were analyzed with Chi-square test and logistic regression.

RESULTS

The sample size realized as 346 (n = 346), with the majority (n = 198, 57%) female, and the mean age 39.5 ± 11 years. The mean scores for the medical errors and complications were 5.5 ± 2.10 and 4.8 ± 2.3, respectively. The participants with secondary education were less likely to have sufficient knowledge of both medical complications (OR 0.52, = 0.016) and errors (OR 0.52, = 0.016). In terms of age, the older participants, the 38-47 year age group, were less likely to be knowledgeable about medical complications compared to the younger age groups (OR 0.92, = 0.046).

CONCLUSION

The patients had a higher level of knowledge about medical errors compared to medical complications. The level of education and the employment status significantly predicted the knowledge of both medical errors and complications.

摘要

背景

对医疗差错和医疗并发症有基本的了解对于确保患者安全至关重要。本研究的目的是评估患者是否对医疗差错和医疗并发症有足够的了解,并确定影响其知识水平的因素。

方法

对2019年至2020年在阿卜杜勒阿齐兹国王医疗城预约就诊的400名患者进行了一项横断面研究。共同研究者编制了一份经过验证的自填式问卷。第一部分聚焦于人口统计学信息,第二部分包含17个情景以评估患者的知识水平。数据采用卡方检验和逻辑回归进行分析。

结果

实际样本量为346例(n = 346),其中大多数为女性(n = 198,57%),平均年龄为39.5±11岁。医疗差错和并发症的平均得分分别为5.5±2.10和4.8±2.3。接受中等教育的参与者对医疗并发症(比值比0.52,P = 0.016)和差错(比值比0.52,P = 0.016)有足够了解的可能性较小。在年龄方面,38 - 47岁年龄组的老年参与者与较年轻年龄组相比,对医疗并发症了解的可能性较小(比值比0.92,P = 0.046)。

结论

与医疗并发症相比,患者对医疗差错的了解程度更高。教育水平和就业状况显著预测了对医疗差错和并发症的了解情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03b7/8483113/015d15fe7d7a/JFMPC-10-2980-g001.jpg

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