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[骨科手术前的书写信息与同意书]

[Writing information and consent prior to orthopaedic surgery].

作者信息

Aunan Eirik

机构信息

Ortopedisk seksjon, Kirurgisk avdeling, Sykehuset Innlandet HF, Lillehammer, 2629 Lillehammer.

出版信息

Tidsskr Nor Laegeforen. 2003 Sep 25;123(18):2594-6.

Abstract

BACKGROUND

In Norway, the Code of Ethics for Doctors and the Patients' Rights Act require informed consent before surgery. Written information and consent may increase the patient's interest in clinical decision making but will also focus on the risks.

MATERIAL AND METHODS

This article investigates the attitude of two populations of patient to thorough information about the potential risks of surgery and their attitude to written information and consent. 91 patients accepted for total knee arthroplasty or arthroscopic acromioplasty were offered written information material, a consent form, and a questionnaire.

RESULTS

All patients were in favour of that thorough information should be given about the risks of surgery; only three felt that this information caused anxiety. Three patients abstained from the operation after having read the information material; 39 stated that information in writing had improved their ability to decide whether or not to accept the operation. 69 patients stated that giving written consent is a valuable approach.

INTERPRETATION

In patients prepared for total knee arthroplasty or arthroscopic acromioplasty, information and consent forms with detailed information about risks could be a valuable supplement to oral information for the purpose of obtaining truly informed consent.

摘要

背景

在挪威,《医生道德准则》和《患者权利法案》要求手术前需获得知情同意。书面信息和同意书可能会提高患者对临床决策的关注度,但也会聚焦于风险。

材料与方法

本文调查了两类患者群体对手术潜在风险的详细信息的态度以及他们对书面信息和同意书的态度。为91名接受全膝关节置换术或关节镜下肩峰成形术的患者提供了书面信息材料、同意书和一份问卷。

结果

所有患者都赞成应提供有关手术风险的详细信息;只有3人认为这些信息会引起焦虑。3名患者在阅读信息材料后放弃了手术;39人表示书面信息提高了他们决定是否接受手术的能力。69名患者表示签署书面同意书是一种有价值的方式。

解读

对于准备接受全膝关节置换术或关节镜下肩峰成形术的患者,包含详细风险信息的信息材料和同意书对于获得真正的知情同意而言,可能是口头信息的宝贵补充。

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