監視器之存廢－探討住院精神病人的隱私與安全

Whether to Retain the Monitor or Not: An Exploration of the In-patient's Privacy and Safety in the Psychiatric Ward

李美秀(Mei-Hsiu Lee) ； 方莉(Li Fang) ； 張馨妃(Hsin-Fei Chang) ； 吳姈娟(Lin-Chuan Wu) ； 謝智隆(Chih-Lung Hsieh) ； 林桂菁(Guei-Ging Lin)

《精神衛生護理雜誌》 11卷2期 (2016/12) Pp. 5-10

https://doi.org/10.6847/TJPMHN.201612_11(2).0001

摘要

長期以來，為了保護精神病人的安全，以防止自殺、暴力或其他危害病人事件的發生，住院病房皆裝有監視器。然而，近期有學者專家主張，住院病房裝設監視器，讓病人喪失了隱私，故認為應予拆除（只保留保護室），並在每張病床裝上圍簾。現今的現象突顯出：病人的隱私與安全孰重？病人的隱私權的保障或保護病人的隱私是否該凌駕在保護病人的安全之上？由倫理原則、哲學觀點與法律層面分析裝設監視器的利弊，為了讓病人得以受到更安全的良好照護，只要醫護人員遵循保密規則，適時提醒病人監視器的存在，不因監視器的設置而減少親自探視，監視器的設立可以獲得證成。

關鍵字

監視器 ； 隱私 ； 行善原則 ； 病人安全

並列摘要

To ensure the security of the patients with psychiatric disorders, and to prevent them from suicide, violence, or homicidal actions, the psychiatric wards have long been equipped with monitors. However, some scholars and experts have recently argued that the aforementioned patients will lose their privacy when monitors are used in the wards. Thus, they have suggested that the monitors should be removed from the wards (except for those in the isolated rooms) and instead have the bed curtains installed. Should the patient's privacy protection be given precedence over the patient's safety? According to the ethical principles, philosophical viewpoints, and legal parts, we try to analyze the advantages and disadvantages of installing monitors in the psychiatric wards. In order to provide the patients with safer environments and better caring, so long as the nursing care staff follow the rule of confidentiality, and timely remind the patients of the monitor's existence, and do not reduce the visiting times, the monitor's setting up in the psychiatric wards will be recognized and supported.

並列關鍵字

monitors ； privacy ； principle of beneficence ； patient's security

參考文獻

李美秀、李瑞全、李素楨（2012）．儒家與康德之人性尊嚴於精神科護理：理論到實踐．護理雜誌，59（2），106-112。doi:10.6224/JN.59.2.105

蔡俊傑、潘哲偉（2009）．競爭性自我呈現關注量表的編製與研究簡介．大專體育，102（6），143-149。doi: 10.6162/SRR.2009.102.20

Goodby, E., & MacLeod, A. K. (2015). Future-directed thinking in first-episode psychosis. The British Journal of Clinical Psychology, 29(10), 1-14. doi: 10.1111/bjc.12096.

Hickey, L., Hannigan, A., O’Regan, A., Khalil, S., Meagher, D., & Cullen, W. (2015). Psychological morbidity among young adults attending primary care: A retrospective study. Early Intervention in Psychiatry, 10(15), 1-8. doi:10.1111/eip.12284

Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & Girolamo, G. (2015). Prevalence and risk factors of violence by psychiatric acute inpatients: A systematic review and meta-analysis. Public Library of Science one, 10(6), e0128536. doi:10.1371/journal.pone.0128536.