Younis Abobaker, Elmubarak Mehad, Elkhwad Hussam
Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL.
Cureus. 2024 Jun 6;16(6):e61801. doi: 10.7759/cureus.61801. eCollection 2024 Jun.
Informed consent is a critical component of ethical clinical practice, particularly in elective orthopedic procedures. It ensures that patients understand the nature, benefits, and risks of the medical procedures they agree to undergo. This study aims to evaluate the informed consent process at Merlin Park University Hospital from the patient's perspective.
This cross-sectional observational study included 140 participants undergoing elective orthopedic procedures. Data were collected via a questionnaire focusing on socio-demographic information and the informed consent process, including details on who provided the information, where and when the consent was signed, and patient understanding and satisfaction. Responses were analyzed using SPSS version 26 (IBM Corp., Armonk, NY).
The majority of participants were females, with 80 (57.1%) women and 60 (42.9%) men. The average age of the participants was 60.86 years. Most participants were employed, constituting 75 (53.6%) of the sample, and 55 (39.3%) had attained university or higher education. The most common procedures were total hip replacement, with 30 (21.4%) participants, and total knee replacement, with 20 (14.3%) participants. Information during the consent process was primarily provided by consultants in 80 (57.1%) cases. High satisfaction levels were reported, with 139 (99.3%) participants expressing satisfaction. Significant correlations were found between satisfaction and the type of healthcare provider, type of operation, and educational level.
The informed consent process at Merlin Park University Hospital is generally effective, with high patient satisfaction and understanding. However, there is a preference for concise information delivery. Enhancing the process through personalized information delivery could further improve patient satisfaction and comprehension. These findings contribute valuable insights into patient-centered care and informed consent in elective orthopedic surgeries.
知情同意是符合伦理的临床实践的关键组成部分，在择期骨科手术中尤为如此。它确保患者了解他们同意接受的医疗程序的性质、益处和风险。本研究旨在从患者的角度评估梅林公园大学医院的知情同意过程。
这项横断面观察性研究纳入了140名接受择期骨科手术的参与者。通过一份问卷收集数据，该问卷侧重于社会人口统计学信息和知情同意过程，包括谁提供了信息、同意书签署的地点和时间，以及患者的理解和满意度。使用SPSS 26版（IBM公司，纽约州阿蒙克）对回答进行分析。
大多数参与者为女性，有80名（57.1%）女性和60名（42.9%）男性。参与者的平均年龄为60.86岁。大多数参与者有工作，占样本的75名（53.6%），55名（39.3%）达到大学或更高学历。最常见的手术是全髋关节置换术，有30名（21.4%）参与者，全膝关节置换术有20名（14.3%）参与者。在80例（57.1%）病例中，同意过程中的信息主要由顾问提供。报告的满意度较高，139名（99.3%）参与者表示满意。发现满意度与医疗服务提供者类型、手术类型和教育水平之间存在显著相关性。
梅林公园大学医院的知情同意过程总体有效，患者满意度和理解度较高。然而，患者倾向于简洁的信息传递。通过个性化信息传递来加强这一过程可以进一步提高患者满意度和理解度。这些发现为择期骨科手术中以患者为中心的护理和知情同意提供了有价值的见解。
