了解患者和外科医生的态度,了解在结直肠外科手术中敏感的手术内检查的知情同意
Jorge G Zarate Rodriguez1, Catherine N Zivanov2, Jared Yee2
1Division of Colon and Rectal Surgery, Department of Surgery, Mount Sinai Health System, New York, NY, USA.
患者对结直肠手术的同意往往忽略了敏感检查的明确讨论,如数字直肠检查 (DRE) 和手术内盆腔检查 (IPE),可能会影响患者的信任.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术伦理学 手术伦理学
- 患者的同意 患者的同意
背景情况:
- 在结直肠外科手术中,对数字直肠检查 (DRE) 和手术内盆腔检查 (IPE) 的同意的理解有限.
- 这些敏感的检查经常在没有明确的患者讨论的情况下进行.
研究的目的:
- 在结直肠外科手术中调查患者和外科医生对DRE和IPE同意的观点.
- 发现对这些程序的同意的理解和实践中的差异.
主要方法:
- 对结直肠外科手术患者和外科医生进行了一项双方面的调查.
- 参与者自行评估了他们对关于同意手术,DRE和IPE的陈述的同意.
主要成果:
- 大多数患者认为DRE和IPE隐含在手术同意中,但更喜欢明确讨论 (65%的DRE,58%的IPE).
- 大多数外科医生 (74%) 在接性解时经常执行像IPE这样的操作,但只有7%的外科医生在手术前讨论了这一点.
- 77%的患者同意外科医生可以进行明确同意的外科手术.
结论:
- 在同意期间明确讨论敏感的手术内检查是至关重要的.
- 如果不这样做,可能会侵蚀患者的自主权和对结直肠外科手术的信任.
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