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口腔健康与牙科患者自主权之间的冲突:一个范围审查
Szilárd Dávid Kovács1, Anggi Septia Irawan2, Szilvia Zörgő3
1Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary. kovacs.szilard@phd.semmelweis.hu.
BMC medical ethics
|December 20, 2024
概括
在牙面部护理中,当患者的要求与医疗的最佳利益相冲突时,就会出现道德困境. 一般来说,优先考虑患者利益是有利的,但考虑了自主权,特别是在预防性护理中.
科学领域:
- 医学伦理 医学伦理
- 面外科手术 面外科手术
- 牙科伦理 牙科伦理
背景情况:
- 患者的自主权是现代医学的基石,赋予了知情决策的权力.
- 当患者的要求缺乏医疗指示时,出现道德困境,与有益性和非有害性相冲突.
- 这些冲突在牙面部护理中具有重要意义,影响功能,美学和福祉.
研究的目的:
- 探索口腔健康和患者自主权之间的伦理冲突的表现和解决方案.
- 在牙科中为患者自主权,慈善和非慈善方面的伦理挑战做出贡献.
主要方法:
- 在三个数据库中对解决道德困境的期刊文章进行了全面的文献选.
- 一个分层的编码方案被开发演 (案例,判断,原则) 和诱导子代码.
- 采用主题分析来合成编码数据并构建代码星座.
主要成果:
- 大多数确定的主题支持优先考虑患者的医疗益处.
- 对患者自主权的考虑始终存在,尽管并非总是主要的驱动因素.
- 在口腔预防护理或对口腔健康影响最小的干预措施的情况下,强调尊重患者的自主权.
结论:
- 患者自主权和医疗原则之间的伦理冲突在口腔和牙面部护理中很普遍.
- 诸如身体修饰,美容牙科和拔牙等问题就是这些困境的例子.
- 尽管化品手术的兴起,文献一般支持在临床决策中优先考虑益处.
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