患者对书面知情同意的理解:问卷研究

被引：7

作者：

Andrea Akkad

Clare Jackson

Sara Kenyon

Mary Dixon-Woods

Nick Taub

Marwan Habiba

翟小梅

机构：

[1] Reproductive Science Section,Department of Cancer Studies and Molecular Medicine,University of Leicester,Leicester LE LX consultant obstetrician and gynaecologist

[2] Department of Health Sciences,University of Leicester,LeicesterLE TP research associate

[3] Department of Health Sciences,University of Leicester,LeicesterLE TP senior research fellow

[4] Department of Health Sciences,University of Leicester,LeicesterLE TP reader in social science and health

[5] Department of Health Sciences,University of Leicester,LeicesterLE TP research fellow in medical statistics

[6] Reproductive Science Section,Department of Cancer Studies and Molecular Medicine,University of Leicester,Leicester LE LX senior lecturer in obstetrics and gynaecology

来源：

英国医学杂志(中文版) | 2007年 / 10卷 / 02期

关键词：

D O I：

暂无

中图分类号：

R-05 [医学与其他学科的关系];

学科分类号：

100117 [系统生物医学];

摘要：

目的检验患者对手术知情同意书的地位、作用、以及免除知情同意的理解。设计前瞻性问卷调查研究。问卷于术后一个月发给患者。答卷按频数和单变量分析。地点大型教学医院。参加者 732名已在妇产科接受手术超过6个月的患者。主要结果评价患者对知情同意书法律含义的认识,以及患者关于知情同意书的作用和免除书面知情同意的观点。结果患者对知情同意书法律地位的理解非常有限。将近一半的患者(46%,95%可信区间43%～50%)认为同意书的基本作用是保护医院,68%(65%～71%)的人认为同意书让医生行使控制权。只有41%(37%～44%)的患者认为同意书使医生了解患者的愿望。结论许多患者对他们签署或者不签署同意书的法律含义知之有限,他们也没有认识到同意书的基本作用是保护他们自己的利益。看来目前作为一种表达自主选择的方法,同意程序还不够充分,而且其伦理地位及可信区间令人质疑。

引用

页码：81 / 84

页数：4

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