目的

了解临床医师对知情同意相关医学伦理知识的知晓情况。

方法

问卷调查2012 ～2013年在解放军总医院肾病科工作的进修医师、轮转临床研究生和受聘住院医师。 问卷包括一般问题、医疗工作中及医学研究中知情同意相关伦理问题。 共有44 位医师接受了问卷调查,问卷回收率100%,有效问卷100%。 统计学,计量资料以均数±标准差表示,计数资料以频数或百分比表示。

结果

44 位医师的工作时间为(5.6 ±3.2)年,43 人接受过知情同意相关伦理知识的培训,其中37 位在大学期间,4 位在硕士研究生期间,2 位在医学继续教育中接受过相关伦理培训。 44 位医师中有60%的人不能完整答出知情同意的目的。 31.8%的医师不能完整回答出必须进行知情同意的医疗活动。 对于知情同意要交待的五项要素内容中,无一人回答知情同意时要向患者说明可供选择的其它干预措施以及不治疗的后果。 44 个受访者中只有18 人(40.9%)能够正确回答《赫尔辛基宣言》是作为涉及人类受试者的医学研究的伦理原则。

结论

临床医师在医疗活动以及医学研究中知情同意相关知识掌握不够全面,应加强医学继续教育中相关伦理内容的培训。

Objective

To investigate on awareness of informed consent related knowledge of medical ethics by clinicians.

Methods

A survey was conducted by questionnaire in refresher doctors,clinical graduates, and employed residents working in Department of Nephrology, PLA General Hospital from 2012 to 2013. The questionnaire included general questions, and informed consent-related ethical issues in both medical work and research. A total of 44 doctors accepted the survey with a response rate of 100%,and a valid questionnaire rate of 100%. Statistical measurement data were expressed as mean ± standard deviation, and count data expressed as frequency or a percentage.

Results

The mean working time of the 44 physicians was 5. 6 ±3. 2 years. 43 physicians had been trained on informed consent-related ethical knowledge among whom 37 trained during the university period, 4 trained during the master study, and 2 trained in a continuing medical education course. Of the 44 physicians,60% could not fully answered the purpose of informed consent, and 31. 8% could not correctly address when informed consent should be carried out in medical activities. None of the 44 physicians answered the content of optional interventions and consequences without treatment which should be addressed to patients among the five elements of informed consent. Only 18 of 44 physicians (40.9%) correctly answered that “Declaration of Helsinki” is the ethical principles for a medical research involving human subjects.

Conclusion

Clinicians lack in informed consent-related knowledge in medical activities or medical researches, the training about ethical contents should be strengthened in continuing medical education.