上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (8): 997-.doi: 10.3969/j.issn.1674-8115.2012.08.008

• 专题报道（不孕不育症及辅助生殖技术） • 上一篇    下一篇

不孕症患者伦理教育需求的初步调查与分析

郭 靖1, 王 玲2, 陈 佩2, 赵晓明2, 袁蕙芸1   

  1. 上海交通大学 医学院附属仁济医院 1.党委宣传科, 2.生殖医学科, 上海 200127
  • 出版日期:2012-08-28 发布日期:2012-08-29
  • 通讯作者: 袁蕙芸, 电子信箱: yuanhuiyun@hotmail.com。
  • 作者简介:郭 靖（1988—）, 男, 硕士生；电子信箱: guojinghhh1988@126.com。
  • 基金资助:

    上海市医学伦理学会基金(201101)

Preliminary investigation and analysis of demand for ethics education in patients with infertility

GUO Jing1, WANG Ling2, CHEN Pei2, ZHAO Xiao-ming2, YUAN Hui-yun1   

  1. 1.Party Committee Propaganda Department, 2.Reproductive Medicine Center, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2012-08-28 Published:2012-08-29
  • Supported by:

    Shanghai Association of Medical Ethics Foundation, 201101

PDF (PC)

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摘要：

目的 明确不孕症患者的就诊需求和伦理教育的内容与实施方法。方法 采取随机抽样法，选取150例不孕症患者进行伦理教育需求的问卷调查。在专家访谈的基础上自拟调查问卷，内容主要包括不孕症患者的就诊需求和困难、伦理教育的现状、患者对治疗的知情同意情况、伦理教育的内容和效果以及伦理教育途径5个方面。问卷有效回收率为100%。结果 不孕症患者就医愿望迫切，而医疗机构对患者健康与伦理教育的现状并不乐观，患者对治疗过程及法律后果还未完全知情同意,对伦理教育内容不明确，伦理教育方式可接受程度也有待提高。结论 在不孕症患者中开展伦理教育是必要且可行的，其中加强有效知情后的同意原则是目前伦理教育需要解决的关键问题。医疗机构应对伦理教育内容和流程进行规范化设计，实施多途径的伦理教育，以利于不孕症患者获取多种信息。

关键词: 不孕症, 患者, 伦理教育, 需求调查

Abstract:

Objective To identify the medical demand of patients with infertility and the content and implementation method of ethics education. Methods A total of 150 patients with infertility were randomly selected, and the questionnaire survey of demand for ethics education was conducted. The questionnaire was designed on the basis of expert consultation, which included the demand for medical service and difficulty in asking for medical help, current situation of ethics education, awareness of patients on treatment, content and effect of ethics education and ways of ethics education. The recovery rate of questionnaire was 100%. Results Patients with infertility needed medical advice urgently, but the current situation of ethics education provided by medical institutions was not optimistic. Patients were not completely aware of the treatment course and legal consequence, and were not clear of the content of ethics education. Besides, the degree of acceptance for the mode of ethics education also needed to be improved. Conclusion Ethics education for patients with infertility is necessary and feasible, in which strengthening informed consent principle is the key problem to perfect the current ethics education. Medical institutions should design the content and process of ethics education standardly, and implement the ethics education though different ways, so that patients with infertility can get a variety of information.

Key words: infertility, patient, ethics education, demand survey