Hawezy Dawan Jamal
Department of Surgery, Faculty of General Medicine, Koya University, Kurdistan Region, KOY45, Koya, Iraq.
BMC Med Ethics. 2025 May 2;26(1):55. doi: 10.1186/s12910-025-01218-0.
Patient satisfaction is a significant measure of healthcare service quality as the patient is the center of any surgical procedure. Patient satisfaction refers to the extent to which a patient's expectations of optimal care align with their perception of the care received. Patient satisfaction during informed consent is enhanced when written informed consent is accompanied by verbal consent in the preoperative period. Satisfied patients are more inclined to adhere to therapy, engage actively in their care, utilize healthcare services, willingly partake in decision-making, and remain with a healthcare provider. This research examines the practical and ethical considerations of obtaining informed consent during surgical procedures. To better understand and make informed decisions, this study aims to assess the efficacy of present consent methods and pinpoint obstacles patients encounter.
A cross-sectional study was conducted from April to December 2024. Data were gathered by second-year students from Koya University's Faculty of General Medicine by interviewing postoperative patients who had undergone general surgical procedures. The results were entered into a Google form and analyzed using SPSS27.
In interviews with participants, 430 out of 572 patients (75%) indicated trust in their surgeons performing the surgery, while 525 patients (91%) expressed respect for their surgeons' opinions. However, 41% (239 patients) reported not reading the informed consent form, and a similar percentage denied that the details of the form were explained by the medical staff responsible for the surgery as there are some medical terms or situations in the form that are challenging to assume if not explained.
Compared to others, participants with a higher educational level sought extensive time from the responsible surgeons to discuss every detail of the surgery before signing the informed consent, with a statistically significant difference observed. A similar difference was noted between private and public hospitals.
患者满意度是医疗服务质量的一项重要衡量标准,因为患者是任何外科手术的核心。患者满意度是指患者对最佳护理的期望与他们对所接受护理的认知相符的程度。当书面知情同意书在术前阶段伴有口头同意时,知情同意过程中的患者满意度会提高。满意的患者更倾向于坚持治疗、积极参与自身护理、利用医疗服务、愿意参与决策,并继续选择同一位医疗服务提供者。本研究探讨了手术过程中获取知情同意的实际和伦理考量。为了更好地理解并做出明智决策,本研究旨在评估当前同意方式的有效性,并找出患者遇到的障碍。
于2024年4月至12月进行了一项横断面研究。数据由科亚大学普通医学系的二年级学生通过采访接受过普通外科手术的术后患者收集。结果录入谷歌表格,并使用SPSS27进行分析。
在对参与者的访谈中,572名患者中有430名(75%)表示信任为他们实施手术的外科医生,而525名患者(91%)表示尊重外科医生的意见。然而,41%(239名患者)报告未阅读知情同意书,并且有相似比例的患者否认负责手术的医务人员对表格细节进行了解释,因为表格中有一些医学术语或情况如果不解释很难理解。
与其他人相比,受教育程度较高的参与者在签署知情同意书之前,会向负责的外科医生寻求更多时间来讨论手术的每个细节,差异具有统计学意义。私立医院和公立医院之间也存在类似差异。