The issue is not whether the patient has been premedicated, but whether premedication has impaired the patient's ability to participate in the informed consent process.

问题不是患者有无术前用药，而是术前用药是否削弱了患者参与知情同意过程的心智能力。

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Severe pain, by impairing a patient's ability to listen and understand, is an encumbrance to the informed consent process.

剧烈疼痛能够削弱患者的倾听及理解能力，因而成为知情同意过程的障碍。

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However, there still exists in the course of medical practice false understanding in the public's mind about patient's right to informed consent and its legal effect.

然而医疗实践中人们对患者知情同意权的理解及其法律效力在认识上存在一定的偏差。

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