中国医学伦理学2024，Vol.37Issue(2)：163-167,5.DOI:10.12026/j.issn.1001-8565.2024.02.07
关于手术知情同意实施现状的分析研究
Analysis and research on implementation status of informed consent in surgery
马桂清 1严金海2
作者信息
- 1. 南方医科大学卫生管理学院,广东 广州 510515
- 2. 南方医科大学通识教育部,广东 广州 510515
- 折叠
摘要
Abstract
Objective:Investigating the content and signing status of the informed consent form for surgery,as well as the signing status of the power of attorney to understand the current implementation of informed consent for surgery in medical institutions.Methods:A stratified random sampling method was used to investigate the signing status of surgical consent and power of attorney on 276 surgical records from a tertiary A hospital in the first half year of 2022.Results:The signatures of both patients and doctors were relatively complete.The medical teams had provided sufficient information to patients regarding the main preoperative diagnosis,surgical name,possible complications during or after the surgery,and surgical risks.However,there was inadequate information on the patient's own high-risk factors,as well as alternative treatment plans and their advantages and disadvantages.The signing of surgical consent and power of attorney signed by non-patients was not standardized.Conclusion:The implementation of informed consent for surgery in medical institutions is relatively good,but there are still some shortcomings.Medical institutions can ensure the implementation of informed consent by strengthening legal and regulatory training,clarifying the scope of authorization,strengthening the surgeon's notification and signing,as well as implementing supervision and inspection,so as to protect the unity of rights and obligations of doctors and patients,effectively avoid medical risks,and promote the construction of a harmonious doctor-patient relationship.关键词
手术同意书/知情同意/授权委托Key words
consent form in surgery/informed consent/authorization and delegation分类
医药卫生引用本文复制引用
马桂清,严金海..关于手术知情同意实施现状的分析研究[J].中国医学伦理学,2024,37(2):163-167,5.
