摘要
对精神障碍患者进行治疗或者将其纳入临床研究前应当评定其知情同意能力,以保障精神障碍患者的基本权益。临床医师对精神障碍患者知情同意能力的判定一般从医学能力角度出发,且具有一定的主观性,临床实践中需要有客观可行的测评工具来帮助临床医生对患者的知情同意能力进行判断。对知情同意能力的评定应全面测评理解能力、评判能力、推理能力和表达能力4个方面,目前国外研制的评定工具在国内尚未得到很好的验证和应用,国内研究者也暂时未能研发出公认的工具。结合国内的临床实际和文化背景,研发出具有良好信效度并能在临床上推广应用的评定工具是知情同意能力在方法学上的突破点。
Capacity assessment is of significant priority for medical treatment and clinical research invol-ving mental disorder patients,as to protect an individual＇s fundamental rights.Clinical judgment of individual＇s ca-pacity to consent most focus on medical situation,well-designed capacity assessment instruments should be used to support experienced clinical judgment.Capacity to consent can be adequately captured by measuring the constructs of understanding,appreciation,reasoning and communicating /expressing a choice.A large number of instruments designed by foreign developers to assess capacity to consent need validation and implementation in China,the in-strument designed by Chinese researchers has not been widely agreed.Establishing an effective capacity assessment instrument with psychometric properties （validity and reliability）,which considering the clinical practice and culture background in china would be a breakthrough in methodology.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2015年第6期437-441,共5页
Chinese Mental Health Journal
基金
"重大新药创制"科技重大专项(2012ZX09303003)
