不同性质机构医护人员对临床治疗中“知情同意”的理解差异研究

Difference Study on the Understandings of “Informed Consent” In Clinical Treatment of Medical Staff in Institutions with Different Nature

目的分析不同性质机构医护人员对临床治疗中"知情同意"的理解,了解目前医疗过程中知情同意的现状,并进一步分析其中的进步与不足。方法采用自制问卷对上海市不同性质卫生机构326名医护人员进行调查。结果告知方面,临床治疗的具体告知内容、告知对象方面不同性质卫生机构医护人员选择具有统计学差异(P<0.05);自愿方面,患者或者家属是否可以拒绝医生治疗这一问题上不同机构医护人员的选择具有统计学差异(P<0.05);决策能力方面,不同性质卫生机构的医护人员在评估经验、评估方式、评估的必要性以及如何评估的问题上选择具有统计学差异(P<0.05)。结论目前,不同性质卫生机构医护人员关于知情同意的理解差异较为显著,虽然医护人员的知情同意意识和理解有所增加,但是知情同意的具体运作方式、流程等方面的内容还需要进一步培训与完善。

Objective： To analyze the understanding of ＂informed consent＂ in clinical treatment of medical staff in institutions with different nature, understand the current situation of informed consent in clinical treatment and further analyze its progress and deficiency. Methods： Using a self - developed questionnaire, a survey was conduc- ted among 326 medical staff in institutions with different nature in Shanghai. Results：In aspect of informing, the choices of medical staff in specific content of clinical treatment and informed objects differed significantly （P 〈 0. 05）. In aspect of voluntary, the medical staff＇ s choices on whether patients or their families could refuse doc- tor＇ s treatment differed significantly （ P 〈 0. 05 ）. In aspect of decision - making capacity, the medical staff＇ s choices in assessment experience, methods, the necessity of assessment and how to assess differed significantly （P 〈 0. 05 ）. Conclusion ：At present, the differences of understanding of medical staff from institutions with different nature towards informed consent were more significant. Although medical staff＇ s awareness and understanding of informed consent has increased, but the specific operation mode and process need further training and improve- ment.