Evaluation of physician–patient relationship and bioethical principles in COVID-19 patients

Q1 Arts and Humanities Clinical Ethics Pub Date : 2022-04-26 DOI:10.1177/14777509221094490
Irma Eloísa Gómez Guerrero, A. Arroyo-Valerio, A. Reding-Bernal, Nuria Aguiñaga Chiñas, Ana Isabel García, Guillermo Rafael Cantú Quintanilla
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Abstract

The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved.
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COVID-19患者医患关系及生物伦理原则评价
新冠肺炎大流行在许多方面影响了医疗保健;以前,病人会进入医院,对入院后会发生什么有一个大致的想法,医生会告诉他们,但在过去的两年里,这种情况已经改变了。因此,我们的目的是通过一项观察性和描述性研究,确定医患关系中是否存在生物伦理原则,以及这些原则在所提供的医疗保健中的影响。在该研究中,患者回答了经验证的ReMePaB问卷,该问卷测量了医患关系中存在的生物伦理原则,在2020年8月1日至11月5日期间,在他们住院的第七天和出院后24小时。在自主性方面,与第一次测量相比,第二次应用的得分有所提高;根据非脆弱性原则,第一次和第二次测量分别观察到相同的场景。在仁慈、尊严和正义的原则上,没有观察到统计学上的显著差异。考虑到在这场疫情中医疗保健中存在或不存在生物伦理方面,就有机会了解患者在接受护理期间的感受,并保持做得好的地方,改进那些可以改进的方面。
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来源期刊
Clinical Ethics
Clinical Ethics Arts and Humanities-Philosophy
CiteScore
1.30
自引率
0.00%
发文量
42
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