Informed consent for emergency surgery - how much do parents truly remember?
Informed consent for emergency surgery - how much do parents truly remember?
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DOI：
10.1016/j.jpedsurg.2014.02.075
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发表时间：
2014-05-01
影响因子：
2.4
通讯作者：
Low, Yee
中科院分区：
文献类型：
--
作者：
Li, Fay Xiangzhen;Nah, Shireen Anne;Low, Yee
背景/目的：本研究的目的是评估接受紧急腹腔镜阑尾切除术的儿童中可能出现的手术并发症的父母保留情况。方法：进行了一项涉及儿童接受紧急腹腔镜阑尾切除术的父母的前瞻性试点研究。就腹腔镜阑尾切除术的 7 种潜在并发症向家长提供了咨询。他们被要求在同意程序后（立即召回，IR）和出院前（延迟召回，DR）立即召回该清单。评分（0-7）表示正确答案的数量。每次回忆时，还会提醒家长他们忽略的并发症（提示回忆）。一名外科医生亲自签署了所有同意书。收集了人口统计数据。数据以中位数（范围）报告。 结果：招募了 21 名母亲和 10 名父亲，年龄为 42 岁（30-54 岁）。九人（29%）接受过大学或研究生教育。 IR 得分为 2 (0-6)。 5 名 (16%) 家长得分为 0。IR 后提示，20 名 (65%) 家长对至少 1 种并发症没有印象。 DR 得分为 2 (0-7)，而 7 名 (23%) 父母得分为 0。在 DR 后提示时，25 名 (81%) 不记得至少一种并发症。八名 (26%) 的 DR 分数有所提高。分数不受患者人口统计数据或访谈间隔时间的影响。结论：家长对手术同意期间提供的信息保留较差。因此，对该过程进行适当的记录至关重要。 (C) 2014 Elsevier Inc. 保留所有权利。
Background/Purpose: The purpose of this study was to evaluate parental retention of possible surgical complications in children undergoing emergency laparoscopic appendectomy.Methods: A prospective pilot study involving parents whose children had emergency laparoscopic appendectomy was performed. Parents were counseled regarding 7 potential complications of laparoscopic appendectomy. They were asked to recall this list immediately after the consent process (immediate recall, IR) and before discharge from inpatient stay (delayed recall, DR). A score (0-7) was awarded indicating the number of correct answers. For each recall, parents were also reminded on complications they omitted (prompted recall). One surgeon administered all consents in person. Demographic data were collected. Data were reported as median (range).Results: Twenty-one mothers and 10 fathers were recruited, aged 42 years (30-54). Nine (29%) had university or post-graduate education. Score for IR was 2 (0-6). Five (16%) parents scored 0. Upon prompting after IR, 20 (65%) parents had no impression of at least 1 complication. Score for DR was 2 (0-7), while 7 (23%) parents scored 0. At prompting after DR, 25 (81%) had no memory of at least one complication. Eight (26%) demonstrated improved DR scores. Scores were not affected by patient demographics or time between interviews.Conclusions: There is poor parental retention of information provided during operative consent. Hence, proper documentation of this process is essential. (C) 2014 Elsevier Inc. All rights reserved.