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知情同意与膝关节镜检查:患者理解与满意度评估

Informed consent and knee arthroscopies: an evaluation of patient understanding and satisfaction.

作者信息

McGaughey Ingrid

机构信息

Broadmeadows Health Service, Melbourne, Australia.

出版信息

Knee. 2004 Jun;11(3):237-42. doi: 10.1016/S0968-0160(03)00107-8.

Abstract

Fifty patients who had been admitted to a public hospital in Australia for an elective knee arthroscopy were asked to complete a detailed questionnaire prior to theatre, designed to evaluate patient understanding and satisfaction of the informed consent process. While patients generally felt that they received an appropriate amount of information on the nature of their injury and the actual operative procedure, little information was given on possible complications and post-operative care. This study clearly indicates that patients are dissatisfied when they perceive a lack of basic information being given. The findings are of some concern as they suggest that the majority of consents gained in this study were not truly 'informed'. However, recognition by medical staff of the areas that appear to be poorly explained to patients enables these issues to be addressed. This in turn is likely to improve patient understanding of and satisfaction with the consent process.

摘要

五十名因择期膝关节镜检查而入住澳大利亚一家公立医院的患者被要求在手术前填写一份详细问卷,该问卷旨在评估患者对知情同意过程的理解和满意度。虽然患者普遍认为他们已就自身损伤的性质和实际手术程序获得了适量信息,但关于可能的并发症和术后护理的信息却很少。这项研究清楚地表明,当患者察觉到缺乏基本信息时,他们会感到不满。这些发现令人担忧,因为它们表明本研究中获得的大多数同意并非真正“知情”。然而,医务人员认识到那些似乎向患者解释得不够清楚的领域,就能解决这些问题。这反过来可能会提高患者对同意过程的理解和满意度。

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