Brons Sander, Becking Alfred G, Tuinzing D Bram
Department of Oral and Maxillofacial Surgery/Pathology, Academic Centre for Dentistry Amsterdam and VU University Medical Center, Amsterdam, The Netherlands.
J Oral Maxillofac Surg. 2009 May;67(5):1021-5. doi: 10.1016/j.joms.2008.12.038.
Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation, attention was given to all aspects of the treatment. However, because of "insurance-related factors," the need for treatment because of functional reasons was stressed over esthetics. The recall of information given during an informed consent interview before orthognathic surgery was measured using a questionnaire.
Patients with a mandibular deficiency with a low mandibular plane angle were questioned after an informed consent interview regarding surgical orthodontic treatment.
Esthetics were more frequently and functional problems were less frequently recalled as the reason for operation than was expected. The risk of a change in the sensation of the lower lip by surgery was frequently recalled as a reason to refrain from the operation. The overall recall rate of the possible risks and complications of orthodontic surgery was 40%.
No reports were found of comparable research on the preoperative recall after consultation before surgical orthodontic surgery. The aspects of communication that can improve recall must be clarified. A recall rate of 100% seems a utopia, although an arbitrary line is needed to determine the quality of an informed consent interview.
知情同意是治疗的重要组成部分，尤其是在择期治疗的情况下。本调查的目的是确定患者在正颌外科手术前的知情同意访谈中能记住多少所提供的信息。在咨询过程中，关注了治疗的各个方面。然而，由于“与保险相关的因素”，因功能原因而非美学原因进行治疗的必要性得到了强调。使用问卷测量正颌外科手术前知情同意访谈中所提供信息的记忆情况。
对下颌后缩且下颌平面角低的患者进行手术正畸治疗的知情同意访谈后进行询问。
与预期相比，患者更多地回忆起美学因素是手术原因，而较少回忆起功能问题。手术导致下唇感觉改变的风险经常被回忆起是拒绝手术的原因。正畸手术可能的风险和并发症的总体回忆率为40%。
未发现关于手术正畸手术前咨询后术前记忆情况的可比研究报告。必须明确可提高记忆的沟通方面。100%的回忆率似乎是乌托邦，尽管需要一条任意的界限来确定知情同意访谈的质量。
