2019冠状病毒病大流行对土耳其医生知情同意的影响

Ömer Faruk Boran, Ercan Avci, M. Boran
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摘要

背景:该研究旨在弄清楚COVID-19大流行是否、如何以及为什么改变了土耳其医生对知情同意的态度。材料与方法:采用滚雪球抽样法向医生发放在线问卷,528名治疗COVID-19患者的医生填写了问卷。结果:大多数医生(n= 317)表示新冠肺炎大流行影响了他们对知情同意的态度,而39.96%的医生(n= 211)表示新冠肺炎大流行没有改变他们告知患者和/或家属的行为。绝大多数医生(n= 259)强调,该疾病的死亡率较高、缺乏标准的治疗方法以及患者和家属对信息的更高需求对向患者和/或家属提供更多信息产生了影响。另一方面,18.30% (n= 58)的医生承认,由于没有时间提供信息,需要紧急治疗,以及缺乏有关应用治疗的风险、益处和结果的信息,大流行导致他们披露的信息较少。结论:COVID-19大流行影响了大多数医生对知情同意的态度和行为。
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The Impact of the Covid-19 Pandemic on Physicians in Turkey Towards Informed Consent
Background: The study aimed to figure out whether, how, and why the COVID-19 pandemic has changed physicians’ attitudes toward informed consent in Turkey. Materials and Methods: An online questionnaire was distributed to physicians through the snowball sampling method and 528 physicians treating COVID-19 patients turned in the questionnaire. Findings: Most of the physicians (n= 317) indicated that the COVID-19 pandemic has influenced their attitudes on informed consent, while 39.96% of them (n= 211) stated that the pandemic did not change their behaviors on informing patients and/or families. An overwhelming majority of the physicians (n= 259) emphasized the impact of the higher mortality rate of the disease, the lack of standard treatment for the disease, and the higher demand from patients and families for information on providing patients and/or families with more information. On the other hand, 18.30% (n= 58) of the physicians admitted that the pandemic has caused them to disclose less information because of the lack of time to provide information, the need for urgent treatment, and the lack of information regarding the risks, benefits, and outcomes of applied treatments. Conclusion: COVID-19 pandemic affected the majority of the physicians attitudes and behaviors toward informed consent.
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