Edwards M H
Department of Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK.
Br J Surg. 1990 Apr;77(4):463-5. doi: 10.1002/bjs.1800770431.
Patients facing operation need good information. This is implicit in informed consent but it is often lacking. A solution is a comprehensive set of leaflets covering 65 different general surgical operations. The leaflets describe the illness, operation, exact management regimen, some complications and outlook, in a deliberately simple style. Master copies are stored on a wordprocessor to allow unlimited expansion and updating. A retrospective survey of 200 patients showed that those receiving leaflets were significantly more satisfied with information (72 per cent overall) than those not receiving leaflets (42 per cent overall) (P less than 0.01). This was especially apparent for information about postoperative progress, both in hospital (92 per cent versus 52 per cent) and after discharge from hospital (88 per cent versus 39 per cent). The system is effective, cheap and popular with patients and medical and nursing staff. The wordprocessor allows extensive modifications of the information to suit other surgeons' requirements.
面临手术的患者需要充分了解相关信息。这在知情同意中虽未明确提及，但往往有所欠缺。解决办法是提供一套涵盖65种不同普通外科手术的综合宣传册。这些宣传册以一种特意简化的风格描述病情、手术、确切的治疗方案、一些并发症及预后情况。母本存储在文字处理软件中，以便能无限制地扩充和更新。对200名患者进行的回顾性调查显示，收到宣传册的患者对所获信息的满意度（总体为72%）显著高于未收到宣传册的患者（总体为42%）（P值小于0.01）。这在有关术后恢复情况的信息方面尤为明显，无论是在住院期间（92%对52%）还是出院后（88%对39%）。该系统有效、成本低廉，且受到患者以及医护人员的欢迎。文字处理软件能对信息进行大量修改，以满足其他外科医生的需求。
