病人参与循证医学现状调查分析.pdfVIP

· 284· Chinese】Evidence．Based Medicine i ± ： i生 · 论 著 · Article 病人参与循证医学现状调查分析 张鸣明 王 莉 何 俐 李 静 董碧蓉 万朝敏 卫茂玲 杨家红 (四川大学华西医院 中国循证医学中心 成都 610041) 【摘要】 目的 了解病人及病人家属对健康信息的需求，获得基线资料，进而制定病人参与循证医学 的对策，促进医患之间的交流，提高医疗服务的质量。 方法 采用随机整群抽样方法，抽取2001年11月 至2002年1月在四川大学华西医院4个科室的住院病人208例以及四JlI大学附属第二医院儿科住院病人 的家属46例，进行问卷调查。用Excel建立数据库，采用 SPASS10．0对数据进行统计学分析处理。 结果 调查对象均未听说过循证医学；多数调查对象对自身疾病或健康信息了解不多，但渴望了解更多信息。 医疗信息获取的途径依次是：医护人员、报刊杂志、亲朋好友、英特网。 结论 本次调查发现，医疗卫生服 务过程中，“医疗费用”和“治疗措施是否有效”仍是病人及其家属关注的重点，但是病人及其家属获取健康 信息的途径非常有限。 【关键词】 病人参与；健康信息；循证医学 【中图分类号】R-05；R197．323 【文献标识码】A 【文章编号】1672-2531(2003)04-0284-03 Patient Involved in Evidence-based Medicine：a Baseline Survey of Current Status ZHANG Ming-ming。WANG Li，HE Li，LI Jing，DONG Bi．rong，WAN Chao—min，WEIMao—ling，YANG Jia．hong．The Chinese Cochrane Centre，West China Hospital，Sichuan University，Chengdu 610041，China 【Abstract】 Objective To investigate baseline data of the current status of patients in China，and thus to develop strategies to get patients involved in evidence·based medicine(EBM)． Method 300 questionnaires with 17 questions were distributed to the in—patients in West China Hospital，Sichuan University．Statistical software such as SPASS 10．0 was applied to analyze all the data． Results No patients had ever heard of EBM．Most patients did not know much information about their diseases，but had a strong desire to learn from their doctors．Most of hem would like to be involved in the treatment decision—making and hoped that their doctors would cre about theirt preference．The coat and the effectiveness of the treatment were the most important issues that patient concerned about． Condmions Th e dissemination of health informa