CAJ | 학술논문

目的：调查妇科护理工作中患者隐私保护状况，探讨对患者的隐私保护对策。方法随机抽取2014年7~12月南京市建邺医院妇科诊治的100名患者进行问卷调查，统计分析相关指标，得出相关因素对隐私认知度及隐私泄露后反应的差异。结果在被调查的100名患者中，不同年龄、文化水平、婚史对隐私认知度及隐私泄露后反应均差异有统计学(P<0.05)，隐私泄露途径差异无统计学意义(P跃0.05)。35岁以下、大专以上学历及未婚患者对隐私认知意识较强；35岁以下、大专以上学历及已婚患者对发生隐私泄露时采取保护措施意识较强。常见的隐私泄露途径为询问病史时泄露占45.00%，医护沟通泄露占28.00%，护理操作泄露占22.00%；临床诊疗泄露占13.00%。结论妇科护理中医护人员应尊重患者的人格尊严，对隐私采取保护措施，将保护隐私变成一种习惯与责任，避免医疗纠纷的发生。
목적：조사부과호리공작중환자은사보호상황，탐토대환자적은사보호대책。방법수궤추취2014년7~12월남경시건업의원부과진치적100명환자진행문권조사，통계분석상관지표，득출상관인소대은사인지도급은사설로후반응적차이。결과재피조사적100명환자중，불동년령、문화수평、혼사대은사인지도급은사설로후반응균차이유통계학(P<0.05)，은사설로도경차이무통계학의의(P약0.05)。35세이하、대전이상학력급미혼환자대은사인지의식교강；35세이하、대전이상학력급이혼환자대발생은사설로시채취보호조시의식교강。상견적은사설로도경위순문병사시설로점45.00%，의호구통설로점28.00%，호리조작설로점22.00%；림상진료설로점13.00%。결론부과호리중의호인원응존중환자적인격존엄，대은사채취보호조시，장보호은사변성일충습관여책임，피면의료규분적발생。
Objective To investigate the status of patient’s privacy protection in gynecological nursing and explore pro-tection countermeasures for privacy. Methods One hundred patients visited gynecological department in Jianye Hospi-tal from July to December 2014 were randomly selected and asked to fill in questionnaires.The related indexes were statistically analyzed in order to obtain the differences of privacy awareness by related factors and response of privacy disclosure. Results Among all these 100 investigated participants,there were statistical differences in privacy awareness and privacy disclosure by varied ages,educational level,and marital history (P<0.05).The way to give away privacy had no significant difference (P>0.05).Privacy awareness was stronger in patients under 35 years old,college or above,and unmarried.Those who were under 35 years old,college or above,and married had stronger protection measures sense at the occurrence of privacy disclosure.The common ways to give away privacy were in inquiring medical history (45.00%), communication between physician and nurse (28.00%),nursing performance (22.00%),and clinical diagnosis and treat-ment (13.00%). Conclusion During gynecological nursing,medical staff should respect patient’s personal dignity,take protection measures on privacy,and consider privacy protection as a habit and responsibility in order to avoid occur-rence of medical disputes.