皮肤科手术中的知情同意
Informed consent in dermatologic surgery.
作者信息
Fleischman Mark, Garcia Carlos
机构信息
Department of Dermatology, University of Oklahoma Health Sciences Center, 619 NE 13th Street, Oklahoma City, OK 73104, USA.
出版信息
Dermatol Surg. 2003 Sep;29(9):952-5; discussion 955. doi: 10.1046/j.1524-4725.2003.29251.x.
BACKGROUND
The issue of informed consent retention has not been previously addressed in dermatology literature. Several studies in other fields of medicine have shown that retention rates are below 50%.
OBJECTIVE
To determine the percentage of complications recalled at 20 minutes and at 1 week after the informed consent process.
METHODS
Eighty-five consecutive patients undergoing Mohs micrographic surgery were given verbal and written instructions, including 10 potential complications. Patients were asked to recall these complications at 20 minutes and at 1 week after the informed consent process.
RESULTS
Overall group retention rate at 20 minutes and at 1 week were 26.5% and 24.4%, respectively.
CONCLUSION
Patients undergoing elective Mohs micrographic surgery have an overall retention rate of 26.5% just 20 minutes after being informed of 10 possible complications. It is obvious that the informed consent protocol needs additional modalities in order to improve overall retention rates.
背景
皮肤科文献中此前尚未涉及知情同意书留存率的问题。其他医学领域的多项研究表明，留存率低于50%。
目的
确定在知情同意过程后20分钟和1周时能回忆起的并发症百分比。
方法
连续85例接受莫氏显微外科手术的患者接受了口头和书面指导，其中包括10种潜在并发症。在知情同意过程后20分钟和1周时，要求患者回忆这些并发症。
结果
总体而言，20分钟和1周时的留存率分别为26.5%和24.4%。
结论
接受择期莫氏显微外科手术的患者在被告知10种可能并发症后仅20分钟，总体留存率为26.5%。显然，知情同意方案需要增加其他方式以提高总体留存率。
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