20111

Tüp Bebek Uygulamalarında Çiftlerin Aydınlatılmış Onamı: Türkiye' de Sınırlı Bir Çalışma

Amaç: Bu çalışmanın amacı, tüp bebek uygulamalarında aydınlatılmış onam elde edilmesi ve bu süreci etkileyen faktörleri belirlemektir. Yöntem: Bu makale tam metin özgün bir araştırma makalesidir. Tanımlayıcı ve kesitsel araştırma tüp bebek tedavisi gören 193 kadın ve 54 erkek ile yapılmıştır. Çalışma formu, sosyodemografik özellikler ve aydınlatılmış onam ile ilgili sorulardan oluşmuştur. Form, yumurtaların toplandığı gün doldurulmuştur. Etik kurul, çalışmanın protokolünü onaylamış ve tüm katılımcılardan sözlü bilgilendirilmiş onam alınmıştır. Bulgular: Araştırmanın sonucuna göre, katılımcıların üçte birinden fazlasının (%38,5) sözlü olarak bilgilendirilmediği, bilgilendirilenlerin ise %34,1'inin anlatılanları anlayamadığı tespit edildi. Özel doktora başvuranlar daha fazla bilgilendirilmiştir. Açıklamalar, başlıca bilgilendirme sürecinden kaynaklanan sorunlar nedeniyle anlaşılamamıştır. Onam formu tüm katılımcılara tedavi başladıktan sonra verilmiştir. Katılımcıların üçte ikisi onam formunu okumuş ve %22,7'si okuduğunu anlamamıştır. Onay formunu okumayanların yaklaşık yarısı (%41,3) formu okumayı ve imzalamayı işlemin uygulanması için bir prosedür olarak gördüğünü belirtmiştir. Onam formunu okumak için zamanı olanlar daha çok okumuş (p<0,001) ve daha çok anlamıştır (p=0,036). Sonuç: Bu çalışmada bilgilerin aktarılmasında ve anlaşılmasında sorunların olduğu, bazı hastalardan geçerli onam alınmadığı sonucuna varıldı.

Anahtar Kelimeler:

Tıp etiği, aydınlatılımış onam, tüp bebek, kısırlık

Informed Consent of Couples in IVF Practices: A Limited Study in Turkey

Objective: The aim of this study is to obtain informed consent in vitro fertilization applications and to determine the factors affecting this process. Methods: This article is a full-text original research article. Descriptive and cross-sectional study was conducted with 193 women and 54 men, undergoing in vitro fertilization treatment. Study form consisted of questions regarding sociodemographic features and informed consent. The form was filled on the day the eggs were collected. The ethical committee approved the protocol of the study and all participants were provided with verbal informed consent. Results: According to result of the study, it was found that more than one third (38.5%) of the participants were not informed verbally, 34.1% of those who were informed could not understand what was told. Those who applied to a private physician were more informed. The explanations were not understood mainly due to the problems arising from informing process. The consent form was given to all participants after starting treatment. Two thirds of the participants read the consent form and 22.7% of them did not understand what they read. Almost half (41.3%) of those who did not read the consent form stated that they consider the reading and signing the form as a procedure for the implementation of the transaction. Those who had time to read the consent form read more (p<0.001) and understood more (p=0.036). Conclusion: In this study, it was concluded that there were problems with the transferring and understanding of information, and that valid consents were not taken from some patients.

Keywords:

Medical ethics, informed consent, in vitro fertilization, infertility,

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