Pengaruh penyuluhan (pendidikan) informed consent di bagian anestesiologi dan reanimasi RS. Dr. Sardjito terhadap perilaku dalam penerapan informed consent

SAMPE, Simon, dr. I Gusti Ngurah Rai Artika, Sp.An.K

2008 | Tesis | S2 PPDS-I Anestesiologi dan Reanimasi

Tujuan: Mengetahui kebermaknaan hubungan antara penerapan informed consent setelah dilakukan pemberian pengetahuan tentang informed consent dibagian Anestesi dan Reanimasi RS Dr Sardjito Yogyakarta. Metode dan Material: Penelitian observasional dengan desain posttest only control group design. Studi korelasi yang dikaji terhadap pengetahuan aspek hukum dan pertimbangan normatif dalam hubungannya dengan penerapan informed consent. Subjek adalah residen yang bekerja di bagian Anestesi dan Reanimasi RS Dr. Sardjito Yogyakarta. Observasi langsung dilakukan dengan mengamati pelaksanaan informed consent pada masing-masing provider sebelum dilakukan tindakan medik yang berpedoman pada chek list. Observasi tidak langsung dilakukan dengan cara mengecek dokumen menggunakan check list dengan sampel rekaman medik pasien sebanyak 100 orang. Pengukuran: Dilakukan dengan pengumpulan data instrumen kuesioner. Data jenis kelamin dilakukan dengan skala nominal, sedangkan data pengetahuan aspek hukum kesehatan, penerapan informed consent, umur, pendidikan, tingkat penghasilan dan lama kerja dilakukan dengan menggunakan skala ordinal. Hasil: Dari kelompok provider intervensi memiliki persentase pengetahuan informed consent lebih tinggi dan penerapan informed consent lebih baik. Pada kelompok pasien persentase tingkat pengetahuan yuridis informed consent masih rendah. Analisa data: Dilakukan dengan uji univariabel menggunakan uji distribusi frekuensi dan uji bivariabel menggunakan uji chi square berdasarkan tabel 2 x 2. Kesimpulan: Hubungan bermakna penyuluhan aspek hukum informed consent dengan penerapan informed consent setelah dilakukan intervensi positif dan bermakna pada p < 0,05.

Objective: To investigate the significance of the correlation between the implementation of the informed consent before and after the acknowledgement of the informed consent in the Anesthetic and Reanimation Department of Dr. Sardjito Hospital Yogyakarta. Materials and Method: It is an observational study with posttest only controls group design. It aims at finding out the correlation between the knowledge of the legal aspect and normative consideration in the implementation of the informed consent. The subject of the study is the residences who work in the Anesthetic and Reanimation Department of Dr. Sardjito Hospital Yogyakarta. Direct observation is conducted by observing the implementation of the informed consent in each of the providers before a medical measure is mad following the existing check list. Indirect observation is conducted by checking the document using the the check list of the medial record samples of 100 patients. Measurement: It is conducted by collecting data with the instrument of a questionnaire. The data of sex is collected using a nominal scale, while the data of the knowledge of the health legal aspect, the implementation of the informed consent, age, education, income and work duration is collected using an ordinal scale. Results: The intervening provider group has a higher knowledge percentage of the informed consent and the implementation of the informed consent is better. The patient group has a low percentage of the knowledge of the juridical aspect of the informed consent. Data Analysis: An analysis is made using univariabel test with frequency distribution test of univariable and the chi square test based on table 2 x 2 is used to test the bivariable. Conclusion: There is a significant correlation between the knowledge of the legal aspect of the informed consent and the implementation of the informed consent after the positive intervention at the significance p < 0.05.

Kata Kunci : Pengetahuan aspek hukum informed consent,Informed consent, The knowledge of the legal aspect of the informed consent, informed consent