CAJ | 학술논문

目的：调查患者对医疗知情同意书和告知书的认识和对其内容的理解程度，从而了解医务工作者对患者的告知现状和所产生的效果。方法2013年7月～12月间，用问卷的形式对既往接受过住院治疗，且签署过知情同意书或（和）告知书的97名无沟通障碍的患者进行匿名调查。结果患者认为知情同意书是尊重患者的选择权和知情同意权的占62.9%（61/97），认为知情同意书是医师为了推卸责任的占29.9%（29/97），认为医疗方案由医师确定，知情同意书只是形式的占7.2%（7/97）。十分熟悉、基本熟悉、不熟悉和完全不知道自己签署的知情同意书或（和）告知书内容分别为26.8%（26/97），30.9%（30/97），（33.0%）32/97，9.3%（9/97）。结论提高医务工作者的法律意识，加强医患沟通，充分履行医师的告知义务，让患者充分了解拟行医疗方案、替代方案、特殊检查和治疗可能受益情况和潜在的并发症，不接受医疗建议的风险，是减少纠纷的有效途径之一。
목적：조사환자대의료지정동의서화고지서적인식화대기내용적리해정도，종이료해의무공작자대환자적고지현상화소산생적효과。방법2013년7월～12월간，용문권적형식대기왕접수과주원치료，차첨서과지정동의서혹（화）고지서적97명무구통장애적환자진행닉명조사。결과환자인위지정동의서시존중환자적선택권화지정동의권적점62.9%（61/97），인위지정동의서시의사위료추사책임적점29.9%（29/97），인위의료방안유의사학정，지정동의서지시형식적점7.2%（7/97）。십분숙실、기본숙실、불숙실화완전불지도자기첨서적지정동의서혹（화）고지서내용분별위26.8%（26/97），30.9%（30/97），（33.0%）32/97，9.3%（9/97）。결론제고의무공작자적법률의식，가강의환구통，충분리행의사적고지의무，양환자충분료해의행의료방안、체대방안、특수검사화치료가능수익정황화잠재적병발증，불접수의료건의적풍험，시감소규분적유효도경지일。
Objective To understand the degree of understanding and the understanding of the content of the informed consent. to understand the inform status quo and its effect. Methods A anonymous questionnaire survey was taken to investigate 97 patients without communication barriers who had accepted treatment in other hospitals and had signed informed consents or (and) inform notes From July 2013 to December 2013. Results Patients’thought of informed consent is Respect for the patient's choice and informed consent account for 62.9%(61/97);Patients’thought of informed consent is a doctor to shirk the responsibility account for 29.9%(29/97);Patients’ thought of the program is determined by doctors, informed consent is just a form account for 7.2% (7/97). Very familiar with, basic familiar with, unfamiliar with, and have no idea of it respectively were 26.8%(26/97),30.9%(30/97),(33.0%)32/97,9.3%(9/97). Conclusion We should improve the legal awareness of health workers, strengthen the doctor-patient communication, fully fulfill the obligation of doctors, so that patients fully understand the Health care scheme, alternative solution, special inspection and treatment, may benefit situation and potential complications, the risk of without take medical advices are effective ways to reduce disputes.