中文摘要：

目的 调查住院患者参与患者安全的态度并探究其影响因素,为促进患者参与医疗安全提供科学建议.方法 采用汉化修订Hibbard JH研制的《患者对参与医疗安全的有效性认知和行为倾向调查问卷》,用方便抽样法对上海市某三级甲等医院140例患者和某二级甲等医院108例患者进行问卷调查.结果 患者参与医疗安全的愿意度总得分为0～66分（满分66）,均值为（58.60 ±8.71）分,与患者对医院安全举措的满意度相关（r=0.149,P＜0.05）.患者对参与医疗安全的有效性认知总得分为20～66分（满分66）,均值为（59.53 ±7.98）分,与患者对医院安全举措的满意度相关（r=0.174,P＜0.05）.患者参与患者安全的愿意度和有效性认知呈正相关（r =0.781,P＜0.01）.结论 患者参与患者安全的积极性很高,但对不同种类参与方式的态度不同,应加强患者安全教育,使患者真正成为医疗活动的合作者.

英文摘要：

Objective To investigate hospitalized patients＇ attitude to participate in patient＇s safety,to explore its influencing factors,and to provide scientific suggestions to encourage patients＇ involvement in medical safety.Methods A convenience sample containing 140 patients from a level three class A hospital and 108 patients from a level two class A hospital in Shanghai were investigated using ＆quot; Questionnaire of Perceived Effectiveness and the likelihood of Petients＇ Participation in Medical Safety＆quot;,which was designed by Hibbard JH and had been cross-culturally Chinesized in this research.Results Total score and average score of patients＇ willingness for involvement in patient safety were 0-66 （full score 66） and （58.60 ± 8.71）.Relative factor is patients＇ satisfaction of the safe surroundings provided by hospital （r =0.149,P 〈 0.05）.Total score and average score of patients＇perceived effectiveness of involvement in patient safety was 20-66（full score 66）,and （59.53 ± 7.98）.Relative factor was patients＇ satisfaction of the safe surroundings provided by hospital （r =0.174,P 〈 0.05）.Patients＇ willingness for involvement was positively correlated withperceived effectiveness （r=0.781,P 〈 0.01）.Conclusions Most of the patients are motivated in patient＇s safety,yet they have different attitudes to various participant modes.Medical staff should enhance patient-safety education so as to make patients become real cooperator in medical activities.