评估在Al-Zahra医院转诊的2021年妇科手术候选人获得脊髓麻醉知情同意的质量

Gelareh Biazar, Abbas Sedighinejad, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, A. Etezadi, Zahra Atrkarroushan, Sarina Rajaei, M. Ahmadi, Mahin Tayefeh Ashrafiyeh
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引用次数: 0

摘要

背景:获得知情同意(IC)对于任何诊断或治疗程序都是必不可少的。目的沟通是医患双方重要的法律沟通过程。方法本横断面研究于2021年在Alzahra医院进行。年龄在18岁以上,在SA下进行选择性妇科手术的合格患者参加了调查。问卷包含人口统计数据和20个具体问题,分为4个方面(提供信息、知情同意书的可理解性、自愿知情同意书和与医生的沟通),通过直接访谈完成。结果对259例符合条件的患者资料进行分析。在向患者提供信息、知情同意书的可理解性和自愿获得知情同意书方面情况不佳。然而,在与医生的沟通方面,46.3%的患者状态良好,20.1%的患者状态良好。教育水平与获得IC的质量之间也存在显著关系(P=0.034)。结论该学术中心的IC流程是不可接受的,应努力改善现状。
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Evaluating the Quality of Obtaining Informed Consent for Spinal Anesthesia in Candidates for Gynecological Surgery Referred to Al-Zahra Hospital During 2021
Background Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. Objective IC is an important legal communication process between the patient and the physician. Methods In 2021, this cross-sectional study was performed in Alzahra Hospital. Eligible patients over the age of 18 years, who were candidates for elective gynecological surgeries under SA enrolled in the survey. A questionnaire containing demographic data and 20 specific questions divided into 4 areas (providing information, comprehensibility of the consent form, voluntary informed consent, and communication with the doctor), was completed via a direct interview. Results The data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary obtaining consent were in poor condition. However, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% were in an excellent state. A significant relationship was also observed between the level of education and the quality of obtaining IC (P=0.034). Conclusion It was concluded that the IC process was not acceptable in this academic center, and efforts should be made to improve the current conditions.
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