Department of Obstetrics and Gynecology, Istanbul Health and Technology University, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Nepean Hospital, Kingswood, New South Wales, Australia.
Int J Gynaecol Obstet. 2023 Dec;163(3):795-812. doi: 10.1002/ijgo.15174. Epub 2023 Oct 9.
Obtaining medical consent preoperatively is one of the key steps in preparing for surgery, and is an important step in informed decision making with the patient. According to good medical practice guidelines, doctors are required to have the knowledge and skills to treat patients as well as inform them, respect their wishes, and establish trust between themselves and their patients. Valid consent includes elements of competence, disclosure, understanding, and voluntariness. Documentation of these elements is also very important. The International Federation of Gynecology and Obstetrics (FIGO) Education Communication and Advocacy Consortium (ECAC) has realized that the quality of consent varies considerably across the world and has developed simple guidelines regarding consent and procedure-specific checklists for the most common obstetric and gynecological procedures.
获得术前医疗同意是手术准备的关键步骤之一,也是与患者进行知情决策的重要步骤。根据良好的医疗实践指南,医生不仅需要具备治疗患者的知识和技能,还需要具备告知患者、尊重其意愿以及在医患之间建立信任的能力。有效的同意应包含能力、披露、理解和自愿等要素。这些要素的文件记录也非常重要。国际妇产科联合会(FIGO)教育、交流和倡导联盟(ECAC)已经意识到,全球范围内的同意质量存在很大差异,并针对最常见的妇产科手术制定了关于同意和特定程序检查表的简单指南。