患者对术前知情同意的认知和理解:来自坦桑尼亚的定性专题分析。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.1177/20503121251331122
Steven Michael, Willbroad Kyejo, Allyzain Ismail, Sunil Samji, Eric Aghan, Columba Mbekenga, Athar Ali
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引用次数: 0

摘要

背景:知情同意,以自主的伦理原则为基础,代表患者同意接受手术。鉴于其在保护人权和自主权方面的关键作用,在任何手术或程序之前获得知情同意现在是一项强制性做法。然而,许多研究质疑知情同意是否得到了真正的执行,是否确保了对所披露信息的适当理解,或者仅仅是作为一种医学法律形式。这导致了医疗事故、误解、焦虑和总体术后不满的增加。目的:本研究旨在探讨患者对选择性手术知情同意过程的看法和经验,确定关键挑战和需要改进的领域。方法:本描述性定性研究在阿迦汗医院进行,采用个人深度访谈。14例接受择期手术的患者被招募。基线数据以表格形式呈现,并采用归纳专题分析来解释定性数据。结果:从数据中出现了七个主题:同意作为一种法律形式、自主权和决策、信息不足、时间限制和缺乏提问机会、医学术语的使用、患者想要的信息以及对护理的总体满意度。尽管患者受教育程度较高,医院也采取以患者为中心的护理方法,但许多人认为所提供的信息不充分、肤浅且难以理解。结论:本研究发现患者所期望的信息与所提供的信息之间存在显著差距。信息不足,加上使用医学术语和时间限制,对知情同意程序产生了不利影响。提高沟通的清晰度,并留出足够的时间进行讨论,可以提高患者的理解和满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients' perceptions and understanding of preoperative informed consent: A qualitative thematic analysis from Tanzania.

Background: Informed consent, grounded in the ethical principle of autonomy, represents a patient's agreement to undergo a procedure. Given its critical role in protecting human rights and autonomy, obtaining informed consent before any surgery or procedure is now a mandatory practice. However, many studies question whether informed consent is conducted genuinely, ensuring proper understanding of the information disclosed, or merely serves as a medicolegal formality. This has led to increased malpractice, misunderstanding, anxiety, and overall postoperative dissatisfaction.

Objective: This study aimed to explore patients' perceptions and experiences regarding the informed consent process for elective surgeries, identifying key challenges and areas for improvement.

Methods: This descriptive qualitative study was conducted at Aga Khan Hospital using individual in-depth interviews. Fourteen patients who had undergone elective surgery were recruited. Baseline data were presented in tables, and inductive thematic analysis was used to interpret the qualitative data.

Results: Seven themes emerged from the data: Consent as a legal formality, autonomy, and decision-making, insufficient information, time constraints and lack of opportunities for questions, use of medical jargon, patients' desired information, and overall satisfaction with care. Despite patients' higher levels of education and the hospital's patient-centered care approach, many felt the information provided was insufficient, superficial, and difficult to understand.

Conclusion: The study found a significant gap between the information patients desired and what was provided. Insufficient information, coupled with the use of medical jargon and time constraints, adversely affected the informed consent process. Enhancing clarity in communication and allowing adequate time for discussions could improve patient understanding and satisfaction.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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