Department of Obstetrics and Gynaecology, Women's Health Division, Barnet and Chase Farm Hospitals NHS Trust, The Ridgeway, Enfield EN2 8JL, UK.
Arch Gynecol Obstet. 2013 Jan;287(1):59-63. doi: 10.1007/s00404-012-2518-9. Epub 2012 Aug 17.
To determine patients' understanding and recall of consent information and risks associated with their procedure following gynaecological surgery.
Patients planned for routine gynaecological surgery were invited to participate in the study by completing a self-administered questionnaire 4-6 h after day-surgery and 24 h after in-patient surgery. Collated data were analysed using standard statistical methods.
544 women participated in the study. 321 (57.9 %) were day-cases and 233 (42.1 %) were in-patients. 33 % and 30.8 % of in-patients and day-cases, respectively did not recall any risk associated with their procedure. Among in-patients, women who did not recall any risk were less likely to have post primary education (84.2 vs. 96.2 %, P = 0.008), understood an information leaflet (79.5 vs. 95.1 %, P = 0.002), understood the consent counselling (85.5 vs. 98 %, P = 0.001), or remember the explanation of procedure and risks (85.5 vs. 98 %, P = 0.001). Among women who did not recall any risk, the day-case women were less likely to have read the information leaflet (86.4 vs. 96.2 %, P = 0.002), understood the information leaflet (79.5 vs. 98.9 %, P = 0.007), or understood the consent counselling (85.5 vs. 98.9 %, P < 0.001) when compared to in-patients.
A third of women who had planned gynaecology procedure do not recall any risk associated with the procedure. Provision of information leaflet did not make any consistent difference.
确定妇科手术后患者对其手术相关知情同意信息和风险的理解和记忆情况。
对计划行择期妇科手术的患者，通过术后 4-6 小时日间手术和 24 小时住院手术的自我管理问卷调查来邀请其参与研究。使用标准统计方法对整理好的数据进行分析。
544 名女性参与了研究。321 名（57.9%）为日间手术患者，233 名（42.1%）为住院患者。分别有 30.8%和 33%的住院和日间手术患者未回忆起与手术相关的任何风险。在住院患者中，未回忆起任何风险的女性更不可能接受过中学后教育（84.2%比 96.2%，P=0.008），理解信息传单（79.5%比 95.1%，P=0.002），理解知情同意咨询（85.5%比 98%，P=0.001），或记得手术和风险的解释（85.5%比 98%，P=0.001）。在未回忆起任何风险的女性中，与住院患者相比，日间手术女性更不可能阅读信息传单（86.4%比 96.2%，P=0.002），理解信息传单（79.5%比 98.9%，P=0.007），或理解知情同意咨询（85.5%比 98.9%，P<0.001）。
计划行妇科手术的女性中，有三分之一的人不记得与手术相关的任何风险。提供信息传单并没有产生任何一致的影响。
