نوع مقاله : مقاله پژوهشی
نویسندگان
1 واحد توسعه تحقیقات بالینی رازی، دانشگاه علوم پزشکی گیلان، رشت، ایران
2 دانشجوی دوره͏ ی دکتری اخلاق پزشکی، مرکز تحقیقات تاریخ و اخلاق پزشکی دانشگاه علوم پزشکی تهران، تهران، ایران.
3 مرکز تحقیقات سالمندی ایران،دانشگاه علوم بهز یستی و توانبخشی، تهران، ا یران.
4 مرکز تحقیقات علوم اعصاب، پژوهشکده توسعه سلامت، دانشگاه علوم پزشکی کردستان، سنندج، ایران.
5 دانشکده پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background
Obtaining informed consent from patients with mental disorders or individuals with intellectual disabilities is a significant challenge in medical ethics and law, especially in vulnerable groups whose decision-making capacity may be impaired. This qualitative study aimed to develop a framework for obtaining informed consent from individuals with intellectual disabilities in Iran.
Materials and Methods
The present study is a qualitative study of the contractual content analysis type conducted in 1402 at Guilan University of Medical Sciences. The participants were 10 experts who were selected through purposive sampling. Data were collected by systematically searching electronic databases for relevant content and individual semi-structured interviews until theoretical saturation was reached and analyzed simultaneously.
Results
The process of obtaining informed consent in patients with mental disorder requires an assessment of mental capacity, consideration of expediency and least harm, and separation of treatment from research. However, compliance with the informed consent process is more legal than ethical and requires protocol revision and serious monitoring. The parent or guardian is the primary decision-maker, but the participation of family and trusted individuals is also possible within the framework of the patient's best interests. The parent's authority is limited and in the event of a violation, the judiciary can intervene.
Conclusion
Obtaining consent in patients with mental disorders should be based on an assessment of their decision-making capacity, and in the event of a lack of capacity, decision-making should be delegated to a representative, while maintaining patient participation as much as possible.
کلیدواژهها [English]
)