CAJ | 학술논문

目的：调查了解护患双方对执行护理风险告知制度的认知状况，为进一步完善此制度，提高护士执行力，争取患者支持提供依据。方法采用自行设计的护理风险告知问卷，对245名护士和200例患者进行调查。结果共发放问卷445份，回收有效问卷445份，回收有效率为100％。其中护士问卷245份，患者问卷200份。245名护士均认可对护理风险告知制度的建立，65．00％护士认为该制度对护患关系有正面影响，97．14％护士选择告知主体为责任护士。本次调查的患者中98．0％以上认为护理工作存在风险，院方有必要将风险告知患方，对风险告知能主动配合；41．5％的患者在签字前仔细阅读了告知书内容。护患双方在告知地点、方式、对象、告知主体及患者能否仔细阅读、主动询问、配合的认知差异有统计学意义（ P＜0．05）。结论护患之间对护理风险告知制度的认知存在差异，医院管理者应充分重视护士相关知识、能力的培养，制定规范化的护理风险告知制度。护士应根据患者不同需求，提供高质量的告知服务，建立有效护理风险防范屏障。
목적：조사료해호환쌍방대집행호리풍험고지제도적인지상황，위진일보완선차제도，제고호사집행력，쟁취환자지지제공의거。방법채용자행설계적호리풍험고지문권，대245명호사화200례환자진행조사。결과공발방문권445빈，회수유효문권445빈，회수유효솔위100％。기중호사문권245빈，환자문권200빈。245명호사균인가대호리풍험고지제도적건립，65．00％호사인위해제도대호환관계유정면영향，97．14％호사선택고지주체위책임호사。본차조사적환자중98．0％이상인위호리공작존재풍험，원방유필요장풍험고지환방，대풍험고지능주동배합；41．5％적환자재첨자전자세열독료고지서내용。호환쌍방재고지지점、방식、대상、고지주체급환자능부자세열독、주동순문、배합적인지차이유통계학의의（ P＜0．05）。결론호환지간대호리풍험고지제도적인지존재차이，의원관리자응충분중시호사상관지식、능력적배양，제정규범화적호리풍험고지제도。호사응근거환자불동수구，제공고질량적고지복무，건립유효호리풍험방범병장。
Objective To research the status of awareness to the risk informed system and compare the differences between nurses and patients .Thus, we can provide an identifiable ground to improve the system and the implementation capacity among nurses .Methods Self-designed questionnaire about informed nursing risks were distributed to 245 nurses and 200 patients.Results A total of 445 questionnaires were distributed , and 445 questionnaires were returned , with an effective rate of 100%.All the nurses took a supportive attitude on the risk informed system.65.00%nurses believed that the system had a positive impact on the nurse-patients relationship.97.14%nurses thought that the risk should be informed by the charge nurse .As for the patients, 98.0% patients thought that there were risks during nursing process , so the healthcare professionals should inform the risks.41.5% patients read the notification before sign it .There were significant differences in the informed place, method, object, subject and whether they can read the notification and take the initiative to ask questions and cooperate (P<0.05).Conclusions There was significant difference in the awareness of risk informed system between nurses and patients .Hospital administrators should fully consider the importance of training the nurses’ knowledge and ability, and they should develop standardized nurses ’ risk informed system. The nurses should pay attention to the patients ’ requirements in order to develop the form of inform method . Finally, we can establish an effective nursing risk prevention barrier .