Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Canada.
Can J Ophthalmol. 2012 Apr;47(2):113-7. doi: 10.1016/j.jcjo.2012.01.017.
To compare three different techniques of obtaining informed patient consent and the relative acceptance rates for resident involvement in cataract surgery. The techniques differed with regards to physician-patient interaction, and how resident involvement was presented.
A retrospective cohort study in a tertiary care ophthalmology department with a recently established residency training program.
356 patients undergoing informed consent procedure for cataract surgery.
Charts of all patients undergoing cataract surgery by 3 cataract surgeons from October 2009 to March 2010 were reviewed. Patient demographics, the documentation of a specific request for resident participation, and the patient response were recorded. Response rates were analyzed between the three different techniques/surgeons.
Consent to resident participation was found to range from 21% to 86%. Higher acceptance rates were associated with direct personal conversation between surgeon and patient.
High acceptance rates for resident involvement in cataract surgery can be achieved with full disclosure of resident involvement to patients.
比较三种不同的获取知情患者同意的技术以及患者对住院医师参与白内障手术的相对接受率。这些技术在医患互动以及住院医师参与情况的呈现方式上有所不同。
在一家最近设立住院医师培训计划的三级护理眼科部门进行的回顾性队列研究。
356 名接受白内障手术知情同意程序的患者。
回顾了 2009 年 10 月至 2010 年 3 月期间由 3 位白内障外科医生进行的所有白内障手术患者的病历。记录了患者的人口统计学资料、对住院医师参与的具体请求的记录以及患者的反应。对三种不同技术/外科医生之间的反应率进行了分析。
发现患者对住院医师参与的同意率从 21%到 86%不等。较高的接受率与外科医生与患者之间的直接个人对话有关。
通过向患者充分披露住院医师的参与情况，可以实现白内障手术中住院医师参与的高接受率。
