肿瘤专业医护人员对患者知情同意执行情况调查分析.docVIP

精品论文 参考文献 肿瘤专业医护人员对患者知情同意执行情况调查分析 柯昌云 常 双 刘 瑞 赵 静通讯作者 　　湖北医药学院附属太和医院 湖北十堰 442000 　　【摘 要】目的：了解肿瘤专业医护人员对知情同意的认知及实施情况。方法：从我市三家三甲医院肿瘤相关科室随机抽取 100 名肿瘤专业医生与100名肿瘤专业护士，参考韩国类似问卷进行调查。结果：医生与护士对癌症告知的认知有所差异(Plt;0.05)，说明护士对癌症告知有一定的认识，但不够全面。知情同意的临床实施情况医生与护士之间比较，差异有显著性意义(Plt;0.01)。知情同意实施中最难的是知情同意的度量把握，其次为与保护性医疗制度相冲突，沟通障碍等。结论：肿瘤专业医生对知情同意有一定的认识并能在实际工作中执行，肿瘤专业护士还需进一步学习，加深认识，以把握知情同意的度量和提高沟通的有效性。结合当前实际，提出合理化建议，全面实施知情同意权，加强医护患沟通，减少医疗纠纷。 　　【关键词】肿瘤专业医护人员；癌症告知；知情同意权；保护性医疗；医患关系 　　【中图分类号】R473 【文献标识码】B 【文章编号】1674-8999（2015）8-0124-02 　　Cognition and Implementation of Informed Consent among Oncological Professionals: A questionnaire analysis 　　 Ke chang-yun Chang Shuang Liu Rui Zhao Jing 　　（Taihe Affiliated Hospital of Hubei Medical College,Hubei 442000,Shiyan,China） 　　【Abstract】Objectives: To ascertain the cognition and implementation of informed consent among oncological professionals.Methods:We constructed a questionnaire consisted of basic information, knowledge about cancer,implementation of informed consent and problems in implementation.Then we delivered it to 200 random-sampled oncological professionals(100 oncologists and 100 oncological nurses) at three Class 3A comprehensive hospitals in Shiyan City.Results: All of the 200 respondents completed the questionnaire.Oncologists are more cognitive and knowledgeable in informing of patientsrsquo;condition than oncological nurses(P＜0.05).For the implementation of informed consent, oncologists with better educational background and superior job title scored more.Oncological surgeons scored more than oncological physicians and doctors in other departments (P＜0.05). All of the respondents, there were 143 person (71.5%)considered it difficult to cope with the degree of information, 132 person(66%)considered that there is conflict between informing of cancer to the patients and the rules of medical protection,105 person(52.5%)thought it was difficult to communicate with patients or their family members.Conclusions:Our finding