妇女对计划剖腹产同意过程的经验及其手术风险:一种定性研究
Malathy Nithiyananthan1, Jacqueline Nicholls2, Melissa Whitten3
1UCL Medical School, Medical School Building, University College London, London, UK.
BJOG : an international journal of obstetrics and gynaecology
|December 26, 2024
概括
接受计划性剖腹产 (CS) 的妇女往往收到不完整或不及时的风险信息,阻碍了知情同意. 情绪因素也阻碍了对产后出血等潜在并发症的理解.
科学领域:
- 产科和妇科 产科和妇科
- 患者安全 患者安全
- 在知情同意的情况下同意.
背景情况:
- 知情同意是道德医学实践的基石,特别是在外科手术中.
- 计划的剖腹产 (CS) 需要详细讨论风险和益处,以确保患者理解.
- 以前的研究表明,在CS的同意过程中,在风险沟通方面存在潜在的差距.
研究的目的:
- 调查妇女在计划剖腹产 (CS) 的同意过程中对风险披露的看法.
- 探索女性如何理解和欣赏与CS相关的风险.
- 确定计划的CS的同意过程中的缺陷.
主要方法:
- 在伦敦NHS教学医院进行的探索性定性访谈研究.
- 半结构面试与18岁以上的18名妇女进行,计划进行CS,手术前后.
- 对转录的采访进行主题分析,重点关注产后出血 (PPH) 和子宫切除等风险的认识.
主要成果:
- 两个主要主题出现了:不及时提供风险信息和情绪过载.
- 在产前期,风险信息往往是肤浅的,完全的披露发生在手术当天.
- 妇女报告说,她们没有意识到特定的风险,她们的情绪反应 (恐惧) 限制了她们对披露的风险的理解.
结论:
- 对于计划的CS的同意过程中,经常缺乏充分和及时的风险披露.
- 缺乏风险沟通和时机阻碍了女性的理解,未能满足知情同意的标准.
- 需要改进,以确保妇女在同意计划的剖腹产前完全了解风险.
更多相关视频
11:29Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
13.9K
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
9.7K
相关概念视频
01:30Psychosurgery
24
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
24
01:08Obedience
32.5K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.5K
01:27Nurses' Legal Responsibilities I
668
In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
The legal responsibilities of a nurse regarding informed consent include the following:
668
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
101
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
101