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[目的]了解病人对于门诊治疗知情同意理解的情况,为实际操作以及工作改进提供必要的依据。[方法]应用自行设计的门诊治疗病人对知情同意认识情况的调查表,对在耳鼻喉科就诊并接受门诊治疗的259例病人进行问卷调查。[结果]病人自评理解度为3.05分±1.01分,签字前仔细阅读知情同意书、医师的解释、类似的签字经验、病人的文化程度、签字与否、类似治疗经验6项与病人的理解程度都呈正相关。寻求再次解释与性别两项呈负相关。其中以签字前仔细阅读、医师的解释详细程度相关性最高。[结论]护理人员在治疗前应督促病人详细阅读知情同意书,做好医疗信息补充和咨询工作,并力求在实际操作过程中做到内容信息的客观性与解释方法个体差异性的平衡和统一。
[Objective] To understand the patient’s understanding of informed consent for outpatient treatment and provide necessary basis for actual operation and work improvement. [Methods] A self-designed outpatient clinic was used to treat the patient’s questionnaire about knowledge of informed consent. A questionnaire survey was conducted on 259 patients who came to the ENT department and received outpatient treatment. [Results] The patient’s self-evaluation comprehension was 3.05±1.01. Before signing, carefully read the informed consent form, physician’s explanation, similar signing experience, patient’s education level, signature or not, similar treatment experience and patient understanding. The degree is positively correlated. The search for a second explanation was negatively related to gender. Which read carefully before signing, doctors explained the most relevant level of detail. [Conclusion] Before treatment, nursing staff should supervise patients to read detailed informed consent form, do medical information supplement and consultation work, and strive to achieve the balance and unity of the objectivity of content information and individual differences in interpretation methods in the actual operation process. .