Shurnas Paul S, Coughlin Michael J
Idaho Foot and Ankle Fellowship, Boise, ID, USA.
Foot Ankle Int. 2003 Dec;24(12):904-8. doi: 10.1177/107110070302401206.
To determine the number of risks a patient can recall from the informed consent process prior to surgery and if recall can be improved with a visual aid and to assess patient satisfaction with the informed consent process utilized.
Randomly selected patients, from all patients requiring forefoot surgery, were randomly assigned into two groups from August 2001 through October 2001. All patients were asked to recall the risks of surgery and to rate their satisfaction with the informed consent process at their final routine postoperative visit.
There were 19 patients in each group. All patients uniformly expressed their satisfaction with the preoperative informed consent discussion at their final visit. The mean number of the 11 risks recalled per patient was 1.0 for group A (range, 0-3) and 0.94 for group B (range, 0-4).
At the final routine postoperative visit, patients in both groups had poor or no recall of the risks of surgery. The visual aid had no effect on improving recall.
确定患者在手术前能够从知情同意过程中回忆起的风险数量，以及视觉辅助工具是否能提高回忆能力，并评估患者对所采用的知情同意过程的满意度。
从2001年8月至2001年10月，将所有需要进行前足手术的患者中随机选取的患者随机分为两组。所有患者均被要求回忆手术风险，并在术后最后一次常规随访时对知情同意过程的满意度进行评分。
每组有19名患者。所有患者在最后一次随访时均一致表示对术前知情同意讨论感到满意。A组患者每人回忆的11项风险的平均数量为1.0（范围为0 - 3），B组为0.94（范围为0 - 4）。
在术后最后一次常规随访时，两组患者对手术风险的回忆均较差或根本没有回忆起来。视觉辅助工具对提高回忆能力没有效果。
