Volume 7, Issue 1 (Winter 2021)                   Caspian.J.Neurol.Sci 2021, 7(1): 37-41 | Back to browse issues page


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Khoshrang H, Taramsari M R, Emir Alavi C, Soleimani R, Rimaz S, Sedighinejad A, et al . The Quality of Informed Consent Obtaining Before Electroconvulsive Therapy: A Report From a Referral, Academic Hospital. Caspian.J.Neurol.Sci. 2021; 7 (1) :37-41
URL: http://cjns.gums.ac.ir/article-1-387-en.html
1- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Forensic Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht.
4- Department of Psychiatry, Kavosh Behavioral, Cognitive and Addiction Research Center, Shafa Hospital, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran. , a_sedighinejad@yahoo.com
6- Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (222 Views)
Background: In patients undergoing Electroconvulsive Therapy (ECT), obtaining written Informed Consent (IC) must be the standard measure before the procedure. The patient must be informed about the risks and benefits of the treatment and alternatives.
Objectives: We aimed to investigate the quality of IC obtaining before the ECT course in an academic hospital in the North of Iran.
Materials & Methods: This study was conducted at an academic center in the north of Iran during 2018-2019. Firstly the patients’ mental capacity was assessed, and if it was not adequate for giving informed consent, a patient’s relative was interviewed. The collected data were analyzed by SPSS V. 22. The Kolmogorov-Smirnov test was used to evaluate the normality assumption. To compare the mean scores in subgroups, we applied t-test.
Results: A total of 259 people enrolled in the survey and were interviewed. Schizophrenia was the main cause of receiving ECT. The Mean±SD score of receiving information was 8.22±3.68 (0-16), understandability of IC 3.03±1.76 (0-6), patients’ voluntary acceptance of the treatment 1.38±0.68 (0-4) and physician-patient relationship 6.11±2.16 (0-12). The total Mean±SD score was 18.05±3.16 (0-38).
Conclusion: IC process was not optimal in our center; however, great trust in the physicians was noticeable. The physician-patient relationship had the highest score while the intentional obtaining of informed consent achieved the lowest.
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Type of Study: Research | Subject: Special
Received: 2021/03/14 | Accepted: 2021/01/21 | Published: 2021/01/21

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