病患與護理人員知覺病患隱私之比較研究

研究問題與目的：病患隱私被侵犯時有所聞，因忽略而不自覺侵犯隱私權、洩漏病患的秘密。本研究透過比較病患與護理人員在隱私權的知覺，了解護理人員在臨床上是否有維護到病患隱私責任，來提升照護品質。研究方法：本研究採橫斷性研究，以台灣中部某區域教學醫院的住院病患和護理人員為研究對象，經醫院人體試驗委員會通過，期間為2020年6月01日至2020年9月30日。有效回收住院病患161份、護理人員156份。統計方法以SPSS 22.0進行分析。研究結果與建議：住院病患以男性、大學（專）、已婚、3人病房及以上居多、平均年齡55.70歲。護理人員以女性、大學、未婚、平均年齡29.67歲。住院病患病患隱私得分最高為「環境隱私」，最低為「性別隱私與管理制度」。護理人員病患隱私得分最高為「身體隱私」，最低為「性別隱私與管理制度」。住院病患與護理人員的病患隱私比較分析，護理人員在各構面上均高於住院病患。護理人員知覺病患隱私高於住院病患，顯示住院病患與護理人員在病患隱私看法不一致，院方可持續加強教育護理人員對病患隱私的倡導，以提升病患隱私權的識能。

關鍵字

住院病患；護理人員；知覺；病患隱私；區域教學醫院

並列摘要

Research problem and purpose: It is often heard that patients' privacy has been violated, and due to ignorance, people have unconsciously violated the patients' privacy and leaked their secrets. This study aims to improves the quality of care by comparing the patients' and the nursing staff's perceptions of privacy to determine whether the nursing staff is clinically maintaining patient confidentiality. Methods: This is a cross-sectional study, using inpatients and nursing staff in a regional teaching hospital in central Taiwan as the subjects. This study was approved by the Institutional Review Board (IRB) of the hospital. The period of this study was from June 1, 2020 to September 30, 2020. There are effective recovered questionnaires from 161 inpatients and 156 nursing staff members. The statistical method was analyzed by SPSS 22.0. Results and recommendations: most of the inpatients are male, with university (junior college) degrees, married, staying in three (or more)-persons wards, with an average age of 55.70. Most of the nursing staff are female, university degree, unmarried, with an average age of 29.67. The highest patient privacy score from the patients belongs to "Environmental Privacy", and the lowest belongs to "Gender Privacy and Management System". The highest patient privacy score from the nursing staff belongs to "Body Privacy", and the lowest belongs to "Gender Privacy and Management System". A comparative analysis the patients' and the nurses' perceptions of patient privacy shows that the nursing staff's scores are higher than patients's in all aspects. The perceived patient privacy from the nursing staff's perspectives is higher than from the inpatients's perspectives, showing that inpatients and nursing staff are inconsistent in views of patient's privacy; thus, hospitals need to enhance the nursing staff' education about the patient's privacy.