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住院患者参与患者安全倾向的现状及影响因素:一项描述性横断面研究。

The Current Status and Influencing Factors of Hospitalized Patients' Propensity to Engage in Patient Safety: A Descriptive Cross-Sectional Study.

作者信息

Yuan Ping, Wang Cong, Cai Yan, Zhou Jun, Yang Yuanyuan, Zhang Fan, Li Caili, Jiang Yan

机构信息

Department of Neurosurgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan, China.

Department of Nursing, The People's Hospital of Leshan, Leshan 614000, Sichuan, China.

出版信息

J Nurs Manag. 2025 Jun 30;2025:2701869. doi: 10.1155/jonm/2701869. eCollection 2025.

Abstract

To investigate the current level of inpatients' propensity to engage in patient safety initiatives and pinpoint the influencing factors, thereby offering insights for targeted interventions and facilitating the development of an efficient management mechanism. A cross-sectional descriptive study. One thousand four hundred and ninety-eight inpatients were recruited from 18 medical institutions in Leshan City, Sichuan Province, China. Participants provided their sociodemographic and professional information and completed a questionnaire scale on the willingness of Chinese inpatients to participate in patient safety. The collected data were analyzed using descriptive statistics, one-way analysis of variance, and binary logistic regression. The highest score for patients' propensity to participate in safety initiatives was 4.13 ± 1.19 points. Binary logistic regression analysis revealed that religion, place of residence, number of hospitalizations, occupation, and hospital grade were independent factors influencing patients' willingness to engage in patient safety (OR = 0.185, < 0.001). Patients in this region are moderately willing to participate in patient safety initiatives. However, while the survey mainly assesses willingness, the behavioral tendency subdimension reveals a gap between patients' expressed willingness and their reported engagement behaviors.

摘要

为调查住院患者参与患者安全举措的倾向现状并找出影响因素,从而为有针对性的干预措施提供见解,并促进高效管理机制的发展。采用横断面描述性研究。从中国四川省乐山市的18家医疗机构招募了1498名住院患者。参与者提供了他们的社会人口学和专业信息,并完成了一份关于中国住院患者参与患者安全意愿的问卷量表。对收集到的数据进行描述性统计、单因素方差分析和二元逻辑回归分析。患者参与安全举措倾向的最高得分为4.13±1.19分。二元逻辑回归分析显示,宗教信仰、居住地、住院次数、职业和医院等级是影响患者参与患者安全意愿的独立因素(OR = 0.185,<0.001)。该地区患者参与患者安全举措的意愿中等。然而,虽然调查主要评估意愿,但行为倾向子维度显示患者表达的意愿与其报告的参与行为之间存在差距。

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