Nehme Jean, El-Khani Ussamah, Chow Andre, Hakky Sherif, Ahmed Ahmed R, Purkayastha Sanjay
Imperial College London, London, UK.
Surg Innov. 2013 Feb;20(1):13-23. doi: 10.1177/1553350612446352. Epub 2012 May 14.
To compare multimedia and standard consent, in respect to patient comprehension, anxiety, and satisfaction, for various surgical/interventional procedures.
Electronic searches of PubMed, MEDLINE, Ovid, Embase, and Google Scholar were performed. Relevant articles were assessed by 2 independent reviewers.
Comparative (randomized and nonrandomized control trials) studies of multimedia and standard consent for a variety of surgical/interventional procedures were included. Studies had to report on at least one of the outcome measures.
Studies were reviewed by 2 independent investigators. The first investigator extracted all relevant data, and consensus of each extraction was performed by a second investigator to verify the data.
Overall, this review suggests that the use of multimedia as an adjunct to conventional consent appears to improve patient comprehension. Multimedia leads to high patient satisfaction in terms of feasibility, ease of use, and availability of information. There is no conclusive evidence demonstrating a significant reduction in preoperative anxiety.
比较多媒体同意书与标准同意书在患者理解、焦虑程度及满意度方面对于各种外科/介入手术的影响。
对PubMed、MEDLINE、Ovid、Embase和谷歌学术进行电子检索。相关文章由2名独立评审员评估。
纳入关于各种外科/介入手术的多媒体同意书与标准同意书的比较（随机和非随机对照试验）研究。研究必须报告至少一项结局指标。
研究由2名独立研究者进行评审。第一名研究者提取所有相关数据，第二名研究者对每次提取的数据进行核对以验证数据。
总体而言，本综述表明，使用多媒体作为传统同意书的辅助手段似乎能提高患者的理解能力。多媒体在可行性、易用性和信息可获取性方面能带来较高的患者满意度。没有确凿证据表明术前焦虑有显著降低。
