Jebbin N J, Adotey J M
Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Niger J Med. 2004 Apr-Jun;13(2):148-51.
By casual interaction with patients our impression was that patients lacked adequate knowledge about their ailments and surgical treatment. There is now increasing educational exposure and legal awareness in the society.
To reassess the extent of the practice of "informed consent" expose failures if any, and make appropriate recommendation.
A written questionnaire, randomly distributed to patients, sought to find out to what extent patients admitted into the University of Port Harcourt Teaching Hospital (UPTH) were adequately informed about their ailments and the implications of surgical treatment.
One hundred and fifty patients were randomly recruited into the study and all responded to the questionnaire. Majority of the patients (75%) knew their diagnoses. Most patients (63%) did not know the problems that could be associated with their surgery while 75% did not know the complications of anaesthesia.
There is need for a closer interaction in communication between patients and their surgeons. This will facilitate the participation of patients in decisions on treatment options and consequently help to maintain a satisfactory standard of practice and reduce litigation following an unfavourable outcome of surgical treatment.
通过与患者的日常交流,我们发现患者对自身疾病和手术治疗缺乏足够的了解。如今,社会上的教育普及程度和法律意识都在不断提高。
重新评估“知情同意”的实施程度,找出其中存在的问题,并提出适当建议。
向患者随机发放书面问卷,以了解入住哈科特港大学教学医院(UPTH)的患者在多大程度上充分了解自己的病情以及手术治疗的影响。
150名患者被随机纳入研究,所有患者都对问卷做出了回应。大多数患者(75%)知道自己的诊断结果。大多数患者(63%)不知道手术可能会带来的问题,75%的患者不知道麻醉的并发症。
患者与其外科医生之间需要在沟通上进行更密切的互动。这将有助于患者参与治疗方案的决策,从而有助于维持令人满意的医疗标准,并减少手术治疗出现不良后果后的诉讼。