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评估儿童医院儿童权利的实施与认知:一项关于家长和儿童观点的比较研究

Assessing the Implementation and Awareness of Children's Rights in Pediatric Hospital: A Comparative Study of Parents' and Children's Perspectives.

作者信息

Georgousopoulou Vasiliki, Dafogianni Chrysoula, Vlotinou Pinelopi, Serdari Aspasia, Koutelekos Ioannis, Tsiakiri Anna, Cassimos Dimitrios, Lavdaniti Maria, Amanatidou Maria, Manomenidis Georgios

机构信息

Department of Nursing, Democritus University of Thrace, 68100 Alexandroupolis, Greece.

Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, 12243 Egaleo, Greece.

出版信息

Pediatr Rep. 2025 Jun 8;17(3):64. doi: 10.3390/pediatric17030064.

Abstract

To evaluate and compare the awareness and implementation of children's rights in pediatric hospital settings from the perspectives of parents and children, this study emphasizes ethical considerations in healthcare, focusing on communication practices, privacy, and participation rights. A cross-sectional study was conducted in the largest pediatric hospital in Greece between February and April 2023. A total of 250 parents and 150 children participated. Data were collected using a structured questionnaire assessing six domains of children's rights: access to information, participation, privacy, non-discrimination, play and recreation, and parental support. Statistical analysis included chi-square tests for categorical variables, with significance set at < 0.05. : Significant discrepancies were identified between parents and children in their awareness of children's rights. Only 2.9% of children were aware of printed lists of rights, and 46.3% of parents reported not knowing of their existence ( = 0.005). Children evaluated communication practices, such as the use of child-friendly language, more positively than parents ( = 0.02). Parents reported higher satisfaction with explanations of health conditions, treatments, and medication side effects ( < 0.001). Regarding privacy, children rated room allocation and privacy practices during examinations less positively than parents ( = 0.02). The study highlights critical gaps in the communication and implementation of children's rights within pediatric hospitals. Tailored interventions, including staff training, development of child-friendly materials, and policy adjustments, are necessary to bridge these gaps and ensure an ethically sound healthcare environment that prioritizes the rights and well-being of both children and their families.

摘要

为了从家长和儿童的角度评估和比较儿童医院环境中儿童权利的认知与实施情况,本研究强调医疗保健中的伦理考量,重点关注沟通实践、隐私和参与权。2023年2月至4月在希腊最大的儿童医院进行了一项横断面研究。共有250名家长和150名儿童参与。使用结构化问卷收集数据,该问卷评估儿童权利的六个领域:信息获取、参与、隐私、非歧视、玩耍和娱乐以及家长支持。统计分析包括对分类变量的卡方检验,显著性设定为<0.05。结果发现家长和儿童在儿童权利认知方面存在显著差异。只有2.9%的儿童知道权利的印刷清单,46.3%的家长表示不知道其存在(P = 0.005)。儿童对沟通实践(如使用儿童友好语言)的评价比家长更积极(P = 0.02)。家长对健康状况、治疗和药物副作用解释的满意度更高(P < 0.001)。关于隐私,儿童对检查期间的病房分配和隐私实践的评价不如家长积极(P = 0.02)。该研究突出了儿童医院在儿童权利沟通和实施方面的关键差距。需要采取针对性的干预措施,包括员工培训、开发儿童友好材料和政策调整,以弥合这些差距,并确保建立一个注重儿童及其家庭权利和福祉的符合伦理的医疗保健环境。

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