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Informed consent in Indian patients

A K Sanwal1, S Kumar, P Sahni

  • 1Department of Gastrointestinal Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of the Royal Society of Medicine
|April 1, 1996
PubMed
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Indian patients can understand and recall information about their operations, contrary to common belief. Informed consent is vital, especially for older, less educated, or poorer individuals, requiring tailored communication strategies.

Area of Science:

  • Medical Ethics
  • Surgical Patient Education
  • Health Literacy in India

Background:

  • Common misconception in India: patients cannot comprehend surgical details, making informed consent a mere formality.
  • Preoperative patient education is often neglected due to perceived patient inability to understand or retain information.
  • This challenges the ethical and legal necessity of obtaining informed consent in the Indian context.

Purpose of the Study:

  • To assess the comprehension and recall of preoperative information by Indian patients undergoing major abdominal surgery.
  • To evaluate the impact of patient demographics on information retention.
  • To determine patient attitudes towards receiving preoperative information and its effect on anxiety.

Main Methods:

  • A study involving 100 consecutive patients scheduled for elective major abdominal operations.
Keywords:
Empirical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Postoperative assessment (5 days) of patient recall of specific details explained preoperatively.
  • Analysis of recall rates based on patient demographics (age, education, socioeconomic status), gender, and appreciation of information.

    • Main Results:

    • 70% of patients could recall relevant details about their operation 5 days post-surgery.
    • Recall ability was consistent between genders (males 67%, females 69%).
    • Older, less educated, and poorer patients demonstrated lower recall rates.
    • 98% of patients valued the information, reporting reduced preoperative anxiety.

    Conclusions:

    • Indian patients possess the capacity to comprehend and retain information regarding their surgical procedures.
    • Informed consent is a crucial process that should be provided to all patients, with special considerations for vulnerable groups.
    • Tailored communication strategies, including continuous information delivery and involving relatives, are recommended for the elderly, poor, and illiterate populations.