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[痴呆症患者的同意能力:对德国医学协会(AWMF)S2k指南108 - 001的见解]

[Capacity to consent of people with dementia : Insights into the S2k AWMF guidelines 108-001].

作者信息

Haberstroh Julia, Tesky Valentina A, Pantel Johannes

机构信息

Psychologische Alternsforschung, Fakultät II - Dep. Erziehungswissenschaft-Psychologie, Institut für Psychologie, Universität Siegen, Adolf-Reichwein-Str. 2a, 57068, Siegen, Deutschland.

Institut für Allgemeinmedizin, Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland.

出版信息

Z Gerontol Geriatr. 2021 Mar;54(2):167-175. doi: 10.1007/s00391-020-01820-4. Epub 2020 Dec 8.

DOI:10.1007/s00391-020-01820-4
PMID:33289856
Abstract

People with dementia often require medical and nursing care and are regularly confronted with the need to make decisions in this respect; however, in practice uncertainty often exists as to whether a person with dementia is capable of providing consent, what procedures should be used to obtain informed consent, how to provide the necessary information and how capacity to consent can be assured. By providing structured practical recommendations, the S2k guidelines "Consent of persons with dementia to medical treatment" (coordinated by the Association of the Scientific Medical Societies of Germany, AWMF, registration number 108-001) provide a first attempt to summarize and update the relevant medical, legal, ethical and psychological requirements that should be satisfied in this respect. This article enables insights into the guidelines and an overview of the most important recommendations.

摘要

患有痴呆症的人通常需要医疗和护理照顾,并且经常面临在这方面做出决策的需求;然而,在实践中,对于痴呆症患者是否有能力提供同意、应采用何种程序获得知情同意、如何提供必要信息以及如何确保同意能力等问题,往往存在不确定性。通过提供结构化的实用建议,S2k指南《痴呆症患者对医疗治疗的同意》(由德国科学医学协会联合会AWMF协调,注册号108 - 001)首次尝试总结和更新在这方面应满足的相关医学、法律、伦理和心理要求。本文有助于深入了解这些指南,并概述最重要的建议。

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本文引用的文献

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Neuropsychological predictors of decision-making capacity over 9 months in mild-to-moderate dementia.轻度至中度痴呆患者9个月内决策能力的神经心理学预测指标
J Gen Intern Med. 2006 Jan;21(1):78-83. doi: 10.1111/j.1525-1497.2005.00288.x.