RT info:eu-repo/semantics/masterThesis
T1 Consentimiento informado y comprensión del riesgo en oncohematología.
A1 Esquivel Herrera, Samuel Casiano
K1 Consentimiento informado
K1 Relación médico-paciente
AB A common error, even among experts,117 is identifying informed consent (IC)with the specific document that the patient must sign (conditio sine qua non) so thatcertain diagnostic or therapeutic techniques can be practiced, so the IC is limited to theformal-legal practice of signing the acceptance "contract".48 For its part, the ICdocument has colonized the medical consultations and is presented and signed almostautomatically by legal imperative.56 It is not strange that, in a paradoxical way, thenecessary IC procedure, what is achieved in many cases, is a signed but uninformeddocument.118 Risk communication is an essential component in the decision-makingprocess shared with the patient. Providing information in a structured way, using alanguage without technicalities, listening to the patient and attending to their values,facilitates that the risks perceived by the patient adjust to the information actuallytransmitted.63 In view of this situation, it is proposed to study whether the patients of theOncohematology Service of the University Hospital Complex of Ntra Sra de Candelaria(CHUNSC), in Tenerife, which are going to be subjected to a treatment withchemotherapy, after signing the informed consent they adequately understand the riskssecondary to the treatment and if they manifest concerns about it, trying to identify insuch a case if the causes can be the technical medical language and a little adequatepatient medical communication.For the study a sampling of maximum variation was used that included 9 adultpatients of different cultural levels, ages and sex, with different degrees ofoncohematological diseases and users of the CHUNSC, specifically of theOncohematology Service, who had signed the informed consent to initiatechemotherapy treatments. A phenomenological, exploratory-type qualitative study wascarried out in which it was not intended to quantify the intensity of any variable, but toelicit the most relevant aspects for patients on the subjects of the study. For thispurpose, a semi-structured open interview was carried out, recorded and later transcribed for its best analysis, being the participation in the study voluntary and thedata treatment anonymous and confidential.The results of the study show that the patients of the Oncohematology Serviceof the C.H.U.N.S.C. understand the verbal medical language used by their doctorsduring the process of informed consent, and that even when there are difficulties ofunderstanding of the verbal or the written medical language of the consent documents,the later verbal medical explanation adapted to the level of each patient finally clarifiesthe existing doubts. On the other hand, the patients of this Service refer concernsmainly due to the possibility of suffering some adverse effect secondary tochemotherapy, not due to the lack of understanding of what these may be or of themedical information
YR 2018
FD 2018
LK http://riull.ull.es/xmlui/handle/915/10436
UL http://riull.ull.es/xmlui/handle/915/10436
LA es
DS Repositorio institucional de la Universidad de La Laguna
RD 19-nov-2024