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手术干预前知情同意书的质量?一家教学医院的经验。

Quality of an Informed Consent Prior to a Surgical Intervention? Experience of a Teaching Hospital.

作者信息

Kurt Engin, Ucar Muharren, Atac Adnan

机构信息

Engin Kurt, MD, MBA, PhD, Assistant Professor, Department of Medical Ethics, Gulhane Medical Faculty, Ankara, Turkey.

MuharremUcar, MD, PhD, Associate Professor, Department of Medical Ethics, Gulhane Medical Faculty, Ankara, Turkey.

出版信息

Pak J Med Sci. 2016 Jan-Feb;32(1):206-10. doi: 10.12669/pjms.321.8968.

Abstract

OBJECTIVE

To determine how far the information given by the physicians for the informed consent prior to the surgical intervention is comprehended by the patients.

METHODS

The study was carried out between July 1(st), 2012 and July 1(st), 2013 at Gulhane Medical Faculty. A total of 400 patients, who were in the third postoperative day after various surgical procedures (orthopedics, urology, ophthalmology, plastic surgery and breast surgery), were included in the study.

RESULTS

Of all the patients, 73.5% stated that the operative information was provided by physicians, whereas 22.7% claimed that no information was given in this regard. The patients who knew the name of the disease was 78%, while 18.3% did not know. Of all the patients, 25.7% knew the name of the operation, in contrast to of 52.3% who did not know it. About 12.5% of patients stated that they were not informed about the likely complications during the surgery, whereas 13.7% of patients reported that they were not informed about the post-operative complications.

CONCLUSION

The verbal information and the written texts, different approaches such as drawings and visual materials (i.e. video's and photographs) should be considered while providing information to the patients. While doing so the level of education of the community should also be taken into account.

摘要

目的

确定患者对医生在手术干预前提供的知情同意信息的理解程度。

方法

该研究于2012年7月1日至2013年7月1日在古勒汗医学院进行。共有400名患者纳入研究,这些患者处于各种外科手术(骨科、泌尿外科、眼科、整形手术和乳腺手术)术后第三天。

结果

在所有患者中,73.5%表示医生提供了手术信息,而22.7%声称在这方面未得到任何信息。知道疾病名称的患者占78%,而18.3%不知道。在所有患者中,25.7%知道手术名称,相比之下,52.3%不知道。约12.5%的患者表示他们未被告知手术期间可能出现的并发症,而13.7%的患者报告说他们未被告知术后并发症。

结论

在向患者提供信息时,应考虑口头信息和书面文本,以及绘图和视觉材料(如视频和照片)等不同方式。同时,也应考虑社区的教育水平。

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本文引用的文献

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