从 COVID-19 大流行期间入住外科病房患者的角度看患者权利宪章的合理性和实践：来自伊朗南部的证据。
The justification and practice of the patient rights charter from the perspective of patients admitted to surgical wards during COVID-19 pandemic: evidence from Southern Iran.
机构信息
Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran.
Clinical Education Research Center, Department of Medical Education, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
BMC Health Serv Res. 2024 Aug 1;24(1):875. doi: 10.1186/s12913-024-11372-7.
BACKGROUND
Hospitals, as one of the core elements of healthcare service delivery, should pave the way for more efficient compliance with the Patient Rights Charter (PRC). The COVID-19 pandemic affected the interactions between healthcare providers and patients. The present study aimed to investigate the importance and practice of PRC from the perspective of hospitalized patients in surgical wards during the COVID-19 pandemic.
METHODS
The participants in this cross-sectional study were 355 patients who underwent surgery at Imam Khomeini Hospital in southern Kerman, Iran, in 2021. Data was collected by convenience sampling. The data in this study were collected using Justification and Practice of Patient Rights (JPPR). Data analysis was performed with SPSS-16 software using the Kruskal-Wallis, Wilcoxon, and Spearman correlation tests.
RESULTS
The total mean score for the justification of patient rights (PR) was 69.12 ± 58.44, which was significantly higher than the total mean score of PR practice (61.02 ± 1.32) (p < 0.001). In addition, the mean scores for all PR justification dimensions were significantly higher than the mean scores for PR practice (p < 0.05). A comparison of the dimensions of the PR justification showed service facilitation had the highest score and handling patient complaints had the lowest score. Furthermore, an analysis of the dimensions of PR practice indicated that handling patient complaints had the lowest score and other dimensions had the same score.
CONCLUSION
The results of this study showed that despite the great importance of PR from the patients' perspective, PR is not still practiced optimally. The findings from this study can have some clinical implications and help hospital managers to take measures to better adapt to the PRC with staff training and developing a strong policy to comply with the PRC, especially by paving the way for handling patient complaints.
背景
医院作为医疗服务提供的核心要素之一，应率先更有效地遵守《患者权利宪章》（PRC）。COVID-19 大流行影响了医疗保健提供者与患者之间的互动。本研究旨在从 COVID-19 大流行期间外科病房住院患者的角度调查 PRC 的重要性和实践情况。
方法
本横断面研究的参与者是 2021 年在伊朗克尔曼南部伊玛目霍梅尼医院接受手术的 355 名患者。数据通过便利抽样收集。本研究的数据采用《患者权利辩护与实践》（JPPR）进行收集。使用 SPSS-16 软件采用 Kruskal-Wallis、Wilcoxon 和 Spearman 相关检验进行数据分析。
结果
患者权利（PR）辩护的总平均得分为 69.12±58.44，明显高于 PR 实践的总平均得分为 61.02±1.32（p<0.001）。此外，所有 PR 辩护维度的平均得分均明显高于 PR 实践的平均得分（p<0.05）。对 PR 辩护维度的比较表明，服务促进得分最高，处理患者投诉得分最低。此外，对 PR 实践维度的分析表明，处理患者投诉的得分最低，其他维度的得分相同。
结论
本研究结果表明，尽管从患者的角度来看 PR 非常重要，但 PR 仍未得到最佳实践。本研究结果具有一定的临床意义，有助于医院管理者采取措施，通过员工培训和制定强有力的政策来更好地适应 PRC，特别是为处理患者投诉铺平道路。
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