Ramírez-Puerta M R, Fernández-Fernández R, Frías-Pareja J C, Yuste-Ossorio M E, Narbona-Galdó S, Peñas-Maldonado L
Servicio de Medicina Intensiva, Hospital Universitario San Cecilio, Granada, España.
Med Intensiva. 2013 Nov;37(8):503-9. doi: 10.1016/j.medin.2012.08.013. Epub 2012 Dec 8.
To analyze the readability of informed consent documents (IC) used in an intensive care department and in the Andalusian Healthcare System (AHS).
A descriptive study was carried out.
The Intensive Care Unit of a tertiary Hospital, and the AHS.
A review and analysis was made of the existing 14 IC models in the Intensive Care Unit and of another 14 IC models offered by the AHS, using the following readability scores: Flesch, Sentence complexity, LEGIN, Fernández-Huerta, Szigriszt and INFLESZ.
Twenty-four IC (85.7%) failed to satisfy some of the indexes, while three (10.7%) did not satisfy any of them. Four documents (14.3%) satisfied all the indexes analyzed, and therefore are easy to understand. Flesch score: satisfied by one of the ICU IC (7.1%) and by three of the AHS documents (21.4%). Sentence complexity score: satisfied by 11 of the ICU IC (78.6%) and by 13 of the AHS documents (92.8%). Fernández-Huerta score: satisfied by four of the ICU IC (28.6%) and by 13 of the AHS documents (92.8%). Szigriszt score: satisfied by two of the ICU IC (14.3%) and by 11 of the AHS documents (64.3%). INFLESZ score: satisfied by two of the ICU IC (14.3%) and by 10 of the AHS documents (71.4%).
The documents analyzed are generally difficult to read and understand by most people, and do not satisfy the basic purpose for which they were drafted.
分析重症监护病房及安达卢西亚医疗系统（AHS）中使用的知情同意书（IC）的可读性。
开展一项描述性研究。
一家三级医院的重症监护病房以及AHS。
使用以下可读性评分标准，对重症监护病房现有的14种IC模板以及AHS提供的另外14种IC模板进行审查和分析：弗莱什、句子复杂度、莱金、费尔南德斯 - 韦尔塔、齐格里斯zt和INFLESZ。
24份IC（85.7%）未满足部分指标，3份（10.7%）未满足任何指标。4份文件（14.3%）满足所有分析指标，因此易于理解。弗莱什评分：重症监护病房的1份IC（7.1%）以及AHS的3份文件（21.4%）满足该评分。句子复杂度评分：重症监护病房的11份IC（78.6%）以及AHS的13份文件（92.8%）满足该评分。费尔南德斯 - 韦尔塔评分：重症监护病房的4份IC（28.6%）以及AHS的13份文件（92.8%）满足该评分。齐格里斯zt评分：重症监护病房的2份IC（14.3%）以及AHS的11份文件（64.3%）满足该评分。INFLESZ评分：重症监护病房的2份IC（14.3%）以及AHS的10份文件（71.4%）满足该评分。
所分析的文件总体上大多数人难以阅读和理解，未达到起草时的基本目的。
