Informed Consent: What Do Patients Really Want to Know?
Informed Consent: What Do Patients Really Want to Know?
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DOI：
10.1016/j.joms.2010.04.004
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发表时间：
2010-08-01
影响因子：
1.9
通讯作者：
Laskin, Daniel M.
中科院分区：
文献类型：
--
作者：
Degerliyurt, Kagan;Gunsolley, John C.;Laskin, Daniel M.
目的：虽然通常建议在知情同意过程中向患者提供尽可能多的信息，但对患者实际想要的信息的数量和类型知之甚少。本研究的目的就是解决这个问题。 患者和方法：我们向 212 名到急诊诊所进行口腔手术的患者（93 名男性和 119 名女性）提供了一份包含 12 个问题的调查问卷，这些患者在初次就诊时需要了解多少与手术相关的一般和特定风险的信息，这些患者的年龄从 18 岁到 50 岁以上不等。他们还被问及何时希望收到这些信息以及是否希望以书面形式获得这些信息。 结果：在患者中，57% 的患者想了解所有并发症，33% 的患者只想了解最常见的并发症，10% 的患者不想了解任何可能的并发症。了解并发症的愿望随着建议频率的增加而增加。 78% 的人表示他们希望获得书面和口头信息，并且大多数人希望在安排手术之前以及在进行手术之前再次提供这些信息。男性和女性反应之间的唯一区别是，更多的男性想了解手术无法改善症状的风险以及神经损伤的风险。患者的年龄和给出的反应之间没有关系。结论：彻底的知情同意过程通常提供的信息比大多数患者想要的更多。 (c) 2010 年美国口腔颌面外科医师协会 J Oral Maxillofac Slug 68:1840-1852, 2010
Purpose: Although it is generally advised to provide patients with as much information as possible during the informed consent process, little is known about the amount and type of information that patients actually desire. The purpose of this study was to address this question.Patients and Methods: We gave 212 patients (93 men and 119 women) presenting to an emergency clinic for oral surgery, ranging in age from 18 years to more than 50 years, a questionnaire containing 12 questions at their initial visit that asked them how much information they would like about the general and specific risks associated with the procedure. They were also asked when they would like to receive that information and whether they would like it in written form.Results: Of the patients, 57% wanted to know about all complications, 33% wanted to know only about the most common complications, and 10% did not want to know anything about possible complications. The desire to know about complications increased along with their suggested frequency. Seventy-eight percent said they would like written as well as verbal information, and most wanted it provided before scheduling their operation and again just before undergoing it. The only difference between the responses from men and women was that significantly more men wanted to know about the risk of surgery not improving their symptoms and the risk of nerve damage. There was no relationship between the age of the patient and the responses given.Conclusion: A thorough informed consent process generally provides more information than most patients desire. (c) 2010 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Slug 68:1840-1852, 2010