Perception of coercion of patients subjected to invasive medical procedure

Abstract The objective of this study was to evaluate the perception of coercion in hospitalized adults and elderly people subjected to invasive medical procedures. A quantitative cross-sectional study method, with a coercion perception scale, was used with 300 inpatients after surgery. The proportions and possible associations between groups, genders, elective procedures, urgency and degree of complexity were compared. Descriptive and inferential statistical analyzes were performed. The results indicate that most patients (82.7%) presented low perception of coercion, regardless of the degree of complexity of the procedures. However, this perception increased in cases of urgent procedures, when compared to elective procedures, regardless of age ( p <0.0001). The perception of coercion was generally low, as most participants felt involved in the decision to perform the procedure. Respect for patients’ autonomy was confirmed, as the medical team shared with them and their families the decision to operate, which was an appropriate result from the bioethical point of view.

摘要 本研究旨在评估接受侵入性医疗操作的住院成年及老年患者对强制医疗的感知情况。本研究采用定量横断面研究方法，结合强制感知量表，对300名术后住院患者展开调研。研究比较了不同组别、性别、择期手术、急诊手术及操作复杂程度间的占比与潜在关联，并开展了描述性与推断性统计分析。结果显示，无论手术操作复杂程度如何，多数患者（82.7%）对强制医疗的感知程度较低。然而，与择期手术相比，急诊手术患者的强制医疗感知程度更高，且这一差异不受年龄影响（p<0.0001）。整体而言患者对强制医疗的感知程度较低，多数参与者表示自己参与了手术操作的决策过程。研究证实医疗团队尊重患者自主权，会与患者及其家属共同商议手术决策，从生物伦理学视角来看，这一结果符合伦理规范。