沙特阿拉伯产科和妇科选择性和紧急手术手术知情同意的评估。

IF 3 1区 哲学 Q1 ETHICS
Maryam Al-Meshkhas, Zahraa Alakrawi, Sumaiah Alrawiai
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引用次数: 0

摘要

背景:知情同意(IC)是患者在医疗保健中的基本权利之一。IC过程的一个重要方面是为患者提供平等获取信息的机会,使他们能够做出正确的决定。然而,未能获得IC会损害患者的自主权,降低患者满意度,增加风险,并对患者对医疗保健提供者的信任产生负面影响。本研究旨在从患者的角度评估沙特阿拉伯产科/遗传学急诊和选择性手术的手术知情同意(SIC)过程。方法:定量横断面研究。研究人群包括2021年2月至2021年3月期间接受过产科或妇科手术的所有住院女性患者。总样本量为156名女性患者。结果:以已婚(96.2%)和无业(80.1%)居多。手术次数最多的是剖宫产术(84%)。大多数患者对其SIC体验感到满意,占85%以上。择期手术与急诊手术之间无显著差异。然而,SIC管理负责人和提供签署IC的时间被认为是重要的预测因素。结论:基于研究结果,建议由医师而不是未知的提供者负责SIC的管理。我们也建议给病人足够的时间来理解SIC。此外,确保情感支持的可用性对于增强患者体验至关重要。临床试验号:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the surgical informed consent for elective and emergency surgeries in obstetrics and gynaecology in Saudi Arabia.

Background: Informed consent (IC) represents one of the fundamental rights of patients in healthcare. An essential aspect of the IC process is providing patients with equal access to information to enable them to make the right decisions. However, failure to obtain IC undermines patient autonomy, lowers patient satisfaction, increases risks, and negatively affects the patient's trust in healthcare providers. This study aims to evaluate the surgical informed consent (SIC) process from the patient's perspective both for emergency and elective surgeries in obstetrics/genecology in Saudi Arabia.

Methods: This is a quantitative cross-sectional study. The study population included all hospitalized female patients who had undergone obstetric or gynaecological surgeries, from February 2021 to March 2021. The total sample size was 156 female patients.

Results: Most of the participants were married (96.2%) and unemployed (80.1%). The most performed surgery was caesarean Sect. (84%). Most of the patients were satisfied with their SIC experience which represents over 85%. No significant difference has been found between the elective and emergency surgeries. However, person-in-charge of SIC administration and the time provided to sign the IC were deemed to be significant predictors.

Conclusion: Based on the findings, it is recommended that physician take responsibility for the SIC administration rather than an unknown provider. It is also recommended to provide the patients with adequate time to understand the SIC. Furthermore, ensuring the availability of emotional support is critical for enhancing the patient experience.

Clinical trial number: Not applicable.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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