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手术室中的患者隐私:来自伊朗吉兰省学术医院患者的观点

Patients' Privacy in the Operating Room: Perspectives from Patients in Academic Hospitals of Guilan (Iran).

作者信息

Khoshrang Hossein, Sedighinejad Abbas, Taramsari Morteza R, Azizinezhad Niloofar, Javanak Mandana, Ahmadi Mohadese, Biazar Gelareh

机构信息

Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):491-496. doi: 10.4103/ijnmr.ijnmr_193_23. eCollection 2025 Jul-Aug.

DOI:10.4103/ijnmr.ijnmr_193_23
PMID:40832499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12360768/
Abstract

BACKGROUND

Privacy, recognized as a fundamental patient right, has become a focal point within the healthcare system. This study was conducted to evaluate the state of patients' privacy in the operating rooms of academic hospitals affiliated with Guilan University of Medical Sciences in Iran.

MATERIALS AND METHODS

This cross-sectional descriptive study was carried out between October 2022 and April 2023. Eligible patients completed a questionnaire that included four sections: demographic information and physical, informational, and social dimensions of patient privacy.

RESULTS

Data from 215 patients were analyzed. Younger (Mann-Whitney U = 4738, = -2.44, = 0.01) and single (Chi_square 7.62, = 0.02) patients significantly achieved higher scores. Male (Mann-Whitney U = 4918.5, = -0.90, = 0.36) and rural (Mann-Whitney U = 5411, = -0.43, = 0.66) patients also had higher scores; however, the differences were not significant. Comparing results across the five participating centers in three distinct dimensions, a significant variation was observed in the physical dimension (Chi_square = 22.76, < 0.0001). However, no significant differences were noted in the informational (Chi_square = 9.11, = 0.05) and social dimensions (Chi_square = 8.78, = 0.06). Among hospital sectors, the Ophthalmic and ENT surgeries units' mean (SD) scored the highest 14 (1.53), closely followed by the obstetrics' mean (SD) 13.88 (1.98), while the cardiac surgery center's mean (SD) scored the lowest 12.3 (2.53).

CONCLUSIONS

Patients' privacy was upheld, but there remains room for improvement by ensuring sufficient perioperative information is provided for the patients. Additional attention should be directed toward elderly patients and those with a history of divorce.

摘要

背景

隐私被视为患者的一项基本权利,已成为医疗保健系统的一个焦点。本研究旨在评估伊朗吉兰医科大学附属医院手术室中患者隐私的状况。

材料与方法

本横断面描述性研究于2022年10月至2023年4月进行。符合条件的患者完成了一份问卷,该问卷包括四个部分:人口统计学信息以及患者隐私的身体、信息和社会维度。

结果

对215名患者的数据进行了分析。年龄较小的患者(曼-惠特尼U = 4738,z = -2.44,p = 0.01)和单身患者(卡方 = 7.62,p = 0.02)得分显著更高。男性患者(曼-惠特尼U = 4918.5,z = -0.90,p = 0.36)和农村患者(曼-惠特尼U = 5411,z = -0.43,p = 0.66)得分也较高;然而,差异不显著。在三个不同维度上比较五个参与中心的结果,在身体维度上观察到显著差异(卡方 = 22.76,p < 0.0001)。然而,在信息维度(卡方 = 9.11,p = 0.05)和社会维度(卡方 = 8.78,p = 0.06)上未观察到显著差异。在医院科室中,眼科和耳鼻喉科手术科室的平均分(标准差)最高,为14(1.53),紧随其后的是产科的平均分(标准差)13.88(1.98),而心脏外科中心的平均分(标准差)最低,为12.3(2.53)。

结论

患者隐私得到了维护,但通过确保为患者提供足够的围手术期信息仍有改进空间。应额外关注老年患者和有离婚史的患者。