El consentimiento informado en las amputaciones mayores de miembros inferiores / Informed consent in major lower limb amputations

RESUMEN

Se realiza la investigación con el objetivo de perfeccionar la obtención del consentimiento informado en las amputaciones mayores de causa vascular en el Servicio de Angiología del Hospital Universitario Manuel Ascunce Domenech. Se constató debilidades en la institucionalización del consentimiento informado y específicamente en el caso de tales amputaciones. Se utilizaron métodos y técnicas del nivel empírico: encuestas a 30 pacientes con riesgo inminente de amputación. El 64 porciento eran mayores de 65 años, 73 porciento femeninos, todos escolarizados y 73 porciento residentes urbanos. Los resultados más relevantes fueron: que el 54 porciento de los pacientes manifestaron debe existir consentimiento en la aceptación de la amputación, aunque un grupo no despreciable el 37 porciento declinó este derecho a favor de sus familiares. A los médicos se les realizó una entrevista y aunque no hubo unanimidad de criterios, todos coincidieron en que debía legislarse este consentimiento, como parte del perfeccionamiento de los servicios de salud (AU)

ABSTRACT

Research is conducted to improve the process of obtaining informed consent for major amputations due to vascular causes in the Angiology Service of the Manuel Ascunce Domenech Teaching Hospital. Deficiencies were identified in the institutionalization of informed consent protocols, most specifically as they relate to major lower limb amputations. Empirical methods and techniques were used. Thirty patients at imminent risk of amputation were surveyed by questionnaire methods; 64 percent of those surveyed were of 65 years of age, 73 percent were female, all of them had an average educational level, and 73 percent were urban residents. The results indicated that 54 percent of patients recognized the importance of informed consent in cases of amputation, although a rather considerable group (37 percent) declined this right for their families. Physicians were also interviewed and, although there was no unanimity of criteria, all of them considered that this consent should be legislated as part of the improvement of health services (AU)