Thieblemont J, Garnerin P, Clergue F
Service d'anesthésiologie, département APSIC, hôpitaux universitaires de Genève, rue Micheli-du-Crest 24, centre hospitalier, 1211 Genève 14, Suisse.
Ann Fr Anesth Reanim. 2006 Jan;25(1):50-62. doi: 10.1016/j.annfar.2005.05.021. Epub 2005 Aug 11.
Informing patients about available treatments, their advantages and disadvantages, as well as the associated risks, is critical to obtain an informed consent and is the responsibility of physicians, including anaesthesiologists. However, risks issues are not systematically discussed during anaesthesia consultations or are addressed in a vague and incomplete way. In order to improve communication and the quality of the informed consent, it is therefore essential to scrutinize problems linked to communication about risks. This article is based on a review of French and English literature on perception and communication about medical risks. Its objectives are for the one hand to summarize the main difficulties concerning risk communication in medicine and, on the other hand, to offer tools that can foster quality communication with patients especially during anaesthesia consultations.
向患者告知可用的治疗方法、其优缺点以及相关风险,对于获得知情同意至关重要,这是包括麻醉医生在内的医生的责任。然而,在麻醉咨询过程中,风险问题并未得到系统讨论,或者只是以模糊和不完整的方式提及。因此,为了改善沟通并提高知情同意的质量,审视与风险沟通相关的问题至关重要。本文基于对法语和英语关于医疗风险认知与沟通的文献综述。其目的一方面是总结医学中风险沟通的主要困难,另一方面是提供有助于与患者进行高质量沟通的工具,尤其是在麻醉咨询期间。