知情同意书格式对下颌第三磨牙手术患者术前焦虑的影响。
The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery.
作者信息
Torres-Lagares Daniel, Heras-Meseguer Marisa, Azcárate-Velázquez Francisco, Hita-Iglesias Pilar, Ruiz-de-León-Hernández Gonzalo, Hernández-Pacheco Esther, Gutiérrez-Pérez José-Luis
机构信息
Facultad de Odontología de Sevilla, C/ Avicena s/n 41009, Sevilla, Spain,
出版信息
Med Oral Patol Oral Cir Bucal. 2014 May 1;19(3):e270-3. doi: 10.4317/medoral.19480.
OBJECTIVE
To evaluate the effect of informed consent format on preoperative anxiety of patients.
MATERIAL AND METHODS
We performed a prospective study (91 patients) undergoing lower third molar extraction. Patients were distributed into three groups. Informed consent for surgery was obtained through a written document, an oral interview or a video recording. Afterwards, patients were asked about their anxiety level and the effect the informed consent had had on it.
RESULTS
Whereas the information conveyed both in oral and written formats relieved the patient to some extent (in a scale of -3 to +3) 0.97 ± 1.21 and 0.29 ± 0.97, respectively), the video recording increased patient's anxiety in a statistically significant way (in a scale of -3 to +3, -0.57 ± 1.43). The difference obtained between the values obtained in oral and written information was not statistically significant.
DISCUSSION
The most adequate format, according to our study, would be the oral format.
目的
评估知情同意书格式对患者术前焦虑的影响。
材料与方法
我们对91例行下颌第三磨牙拔除术的患者进行了一项前瞻性研究。患者被分为三组。通过书面文件、口头访谈或视频记录获取手术知情同意书。之后，询问患者的焦虑程度以及知情同意书对其焦虑的影响。
结果
口头和书面形式传达的信息在一定程度上缓解了患者的焦虑（在-3至+3的量表上，分别为0.97±1.21和0.29±0.97），而视频记录则显著增加了患者的焦虑（在-3至+3的量表上，为-0.57±1.43）。口头和书面信息所获数值之间的差异无统计学意义。
讨论
根据我们的研究，最合适的格式是口头形式。
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