Details

Autor(en) / Beteiligte

• Arshad, Muhammad Asharib
• Omar, Naureen
• Amjad, Zaid
• Bashir, Khalid
• Irfan, Muhammad
• Ullah, Irfan

Titel

Perceptions and practices regarding the process of obtaining informed consent from surgical patients at a tertiary care hospital

Ist Teil von

• Annals of medicine and surgery, 2022-01, Vol.73, p.103195-103195, Article 103195

Ort / Verlag

England: Elsevier Ltd

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Proper informed consent is essential for patients to have sound knowledge about the indication, risks, and benefits of a proposed surgical procedure. The study aim was to assess the perceptions of postoperative patients about the informed consent process and identify various influential factors in a tertiary care hospital. A cross-sectional study was conducted from February to August 2018 at a tertiary care hospital in Lahore, Pakistan. A validated questionnaire was used to conduct interviews of 101 patients planning to undergo elective surgery after fulfilling all ethical considerations. A purposive sampling technique was employed to enroll and the data analysis was performed by using SPSS version 23. Out of total 101 patients, 50 (49.5%) of them were males and the mean age of total sample was 36.98 ± 14.23 years. The majority 92 (91.1%) considered informed consent to be important and that it did not influence their surgical decision 85 (84.2%). Consent was obtained by the consulting surgeon from 41 (40.6%) patients and by the residents/house officer from 60 (59.4%) patients. Fifteen (14.8%) patients signed the consent form themselves, and 86 (85.1%) relatives of patients signed. Ninety-eight (97.0) patients were told about indications of the surgery, and 54 (53.5%) were told about possible complications. Seventy-five (74.3%) patients were informed about alternatives to surgery. Significant reasons for not signing were language (p = 0.03), educational status (p = 0.002), and not being informed by relatives before signing (p = 0.02). The patients had adequate knowledge about the process of informed consent and considered it important. Factors identified as barriers to signing the consent form by the patients themselves included language, better educational status, and not being asked by relatives. It is imperative to involve the patients in the process of consent, especially in signing by them or in their presence by their surrogate. •Informed consent is the basic right of the patient to express acceptance or rejection based on the information provided by the physician about the proposed medical treatment.•Patients had adequate knowledge about the process of informed consent and considered it important in developing countries.•Factors identified as barriers in signing of consent form by patients themselves included language, better educational status and not being asked by relatives.•A higher proportion of patients are satisfied with the process of informed consent.