PDF(Pubmed)
Abstract：
UNASSIGNED: In emergency situations, patients and their next of kin must make complex medical and ethical decisions in a quick and timely way.
UNASSIGNED: To describe the decision-making process during informed consent for emergency surgery among patients and the next of kin of patients who have undergone emergency surgery.
UNASSIGNED: Consecutive sampling of 39 participants and in-depth semi-structured interviews were conducted at two tertiary teaching hospitals in Uganda. There were 22 patients and 17 next of kin of patients who had undergone emergency surgery within 24-72 h. Responses about decision-making were coded into themes using the social constructivist theory and phenomenological approach.
UNASSIGNED: There were four emergent themes; decision-makers, people consulted, documentation of the consent and factors influencing decision-making. Most patients and next of kin made decisions on their own and documented the consent for themselves. Other family members and doctors were consulted during the decision-making process. Decision-making was influenced by reassurance of good outcomes of surgery and disclosure by the doctors.
UNASSIGNED: Decisions were made collaboratively with the patient at the center but with input of health personnel, the next of kin and other family members. A communitarian approach combined with shared decision-making between the doctor and the patient and next of kin with adequate discussion and disclosure of information in simple language would improve decision-making for patients and their next of kin.
UNASSIGNED: To describe the decision-making process during informed consent for emergency surgery among patients and the next of kin of patients who have undergone emergency surgery.
UNASSIGNED: Consecutive sampling of 39 participants and in-depth semi-structured interviews were conducted at two tertiary teaching hospitals in Uganda. There were 22 patients and 17 next of kin of patients who had undergone emergency surgery within 24-72 h. Responses about decision-making were coded into themes using the social constructivist theory and phenomenological approach.
UNASSIGNED: There were four emergent themes; decision-makers, people consulted, documentation of the consent and factors influencing decision-making. Most patients and next of kin made decisions on their own and documented the consent for themselves. Other family members and doctors were consulted during the decision-making process. Decision-making was influenced by reassurance of good outcomes of surgery and disclosure by the doctors.
UNASSIGNED: Decisions were made collaboratively with the patient at the center but with input of health personnel, the next of kin and other family members. A communitarian approach combined with shared decision-making between the doctor and the patient and next of kin with adequate discussion and disclosure of information in simple language would improve decision-making for patients and their next of kin.
摘要：
■在紧急情况下，患者及其近亲必须迅速及时地做出复杂的医学和伦理决定。
■描述患者和接受过急诊手术的患者近亲的知情同意期间的决策过程。
■在乌干达的两家三级教学医院进行了39名参与者的连续抽样和深入的半结构化访谈。在24-72小时内接受急诊手术的患者有22例和17例近亲。使用社会建构主义理论和现象学方法将有关决策的反应编码为主题。
■有四个紧急主题；决策者，人们咨询，同意文件和影响决策的因素。大多数患者和近亲自己做出决定，并记录了自己的同意。在决策过程中咨询了其他家庭成员和医生。决策受到手术良好结果的保证和医生披露的影响。
■与中心的患者合作做出决定，但有卫生人员的投入，近亲和其他家庭成员。社区主义方法与医生与患者和近亲之间的共同决策相结合，并以简单的语言进行充分的讨论和信息披露，将改善患者及其近亲的决策。
■描述患者和接受过急诊手术的患者近亲的知情同意期间的决策过程。
■在乌干达的两家三级教学医院进行了39名参与者的连续抽样和深入的半结构化访谈。在24-72小时内接受急诊手术的患者有22例和17例近亲。使用社会建构主义理论和现象学方法将有关决策的反应编码为主题。
■有四个紧急主题；决策者，人们咨询，同意文件和影响决策的因素。大多数患者和近亲自己做出决定，并记录了自己的同意。在决策过程中咨询了其他家庭成员和医生。决策受到手术良好结果的保证和医生披露的影响。
■与中心的患者合作做出决定，但有卫生人员的投入，近亲和其他家庭成员。社区主义方法与医生与患者和近亲之间的共同决策相结合，并以简单的语言进行充分的讨论和信息披露，将改善患者及其近亲的决策。
