Elder M J, Suter A
Department of Ophthalmology, Christchurch School of Medicine, Christchurch University of Otago, New Zealand.
Br J Ophthalmol. 2004 Mar;88(3):331-2. doi: 10.1136/bjo/2003.020453.
To investigate what patients want to know before undergoing cataract surgery.
A written questionnaire was answered by 190 patients prior to cataract surgery.
The five pieces of preoperative information rated most important were: chance of visual improvement; when vision would improve; overall risk of losing vision from the operation; effect of not having the operation, and the types of serious complications. When asked "should you be warned of a serious complication if it has a risk of happening", 93.5% said yes to a risk of 1 in 50 and 62.4% to 1 in 1000. Written information was requested by 85.7%. There were few differences between the sexes, and between those having their first or second operation.
Patients most wanted to know benefits and risks, even very small risks. Written information should be provided to ensure coverage and reinforce verbal information.
调查患者在接受白内障手术前想了解什么。
190名患者在白内障手术前回答了一份书面问卷。
术前被评为最重要的五条信息是:视力改善的可能性;视力何时会改善;手术导致失明的总体风险;不进行手术的影响以及严重并发症的类型。当被问及“如果严重并发症有发生风险,是否应该得到警告”时,93.5%的人表示如果风险为五十分之一则应该得到警告,62.4%的人表示如果风险为千分之一则应该得到警告。85.7%的人要求提供书面信息。性别之间以及首次或第二次手术的患者之间差异不大。
患者最想了解益处和风险,即使是非常小的风险。应提供书面信息以确保覆盖范围并强化口头信息。