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Quality of informed consent process in inpatients undergoing surgery
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Abstract: (16478 Views) |
| Background & Aim: Informed consent has been considered as a basis of medical ethics. This study aimed to determine the quality of informed consent process in inpatients undergoing surgery in educational hospitals in Kashan.
Materials and methods: In this cross sectional study, 300 random inpatients were surveyed through a questionnaire before surgery in clinical wards. The questionnaire was included questions about disclosure of information, voluntary decisions, consent form understandability, and attention to physician-patients relationship factors. We analyzed the data based on percent of frequency, means and SD.
Findings: The most patients (or surrogates) believed that they were not informed about benefits of surgery (45%), risk and consequences (55.7%), other alternative treatment (67%), duration of hospitalization (50.7%), and follow up after surgery (66.3%). 69% of them said that the consent form was understandable and consent form was not explained for 82.7% of them. About voluntary decisions, benefits and risks of other alternatives were not disclosed for patients (70.7%, 69.7%). 67.3% of them believed that they were not allowed to choose between alternatives, however, 43% were informed about the right to refuse suggested treatment. 68.7% had enough time to think and question about treatment 59.7% believed that they could contact to physician 72.7% were answered adequately and 77% considered physicians’ explanations understandable.
Conclusion: There is not enough informed consent observance, except for physician-patient interaction. patients seem to be more informed about benefits, risk and consequences of surgery, other alternative treatments, benefits and risks of other alternatives, duration of hospitalization, follow-ups. In addition, explaining the consent form seems necessary. |
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| Keywords: Informed consent, Quality, Surgery, Inpatient |
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Full-Text [PDF 623 kb]
(2530 Downloads)
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2009/03/18 | Revised: 2009/05/6 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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