Medical Comics as Tools to Aid in Obtaining Informed Consent for Stroke Care.
Medical Comics as Tools to Aid in Obtaining Informed Consent for Stroke Care.
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DOI：
10.1097/md.0000000000001077
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发表时间：
2015-07
期刊：
影响因子：
1.6
通讯作者：
Sasajima H
中科院分区：
文献类型：
--
作者：
Furuno Y;Sasajima H
知情同意在医疗实践中已变得普遍。然而，医生和病人在对临床情况的了解方面仍然存在差距。我们设计了关于“蛛网膜下腔出血”和“脑出血”的医学漫画，帮助医生直观、快速、全面地获得知情同意。2010年9月至2012年9月，我们对患有脑内或蛛网膜下腔出血的患者家属进行了关于医疗漫画的问卷调查。问卷包括6个问题，询问他们的心理状况，阅读时间，漫画对了解大脑功能和解剖结构的有用性，发病机制，医生的解释，以及这些漫画的适用性。结果显示，93.8%的受访者愿意或非常愿意在其他医疗情况下使用漫画。当考虑到对大脑功能和解剖结构的理解程度，疾病的病理学和医生的解释时，分别有81.3%，75.0%和68.8%的应答者将这些漫画评为非常有用或有用。我们认为医学漫画中的视觉和叙事插图比医生的冗长解释对患者更有帮助。大多数回应者希望医学漫画能应用于其他医疗案例。因此，医学漫画可以成为医患之间新的沟通工具。
Informed consent has now become common in medical practice. However, a gap still exists between doctors and patients in the understanding of clinical conditions. We designed medical comics about “subarachnoid hemorrhage” and “intracerebral hemorrhage” to help doctors obtain informed consent intuitively, quickly, and comprehensively. Between September 2010 and September 2012, we carried out a questionnaire survey about medical comics with the families of patients who had suffered an intracerebral or subarachnoid hemorrhage. The questionnaire consisted of 6 questions inquiring about their mental condition, reading time, usefulness of the comics in understanding brain function and anatomy, pathogenesis, doctor's explanation, and applicability of these comics. The results showed that 93.8% responders would prefer or strongly prefer the use of comics in other medical situations. When considering the level of understanding of brain function and anatomy, pathology of disease, and doctor's explanation, 81.3%, 75.0%, and 68.8% of responders, respectively, rated these comics as very useful or useful. We think that the visual and narrative illustrations in medical comics would be more helpful for patients than a lengthy explanation by a doctor. Most of the responders hoped that medical comics would be applied to other medical cases. Thus, medical comics could work as a new communication tool between doctors and patients.