Giudici K, Gillois P, Coudane H, Claudot F
EA 7299 ETHOS, faculté de médecine, université de Lorraine, 9, avenue de la Forêt-de-Haye, 54505 Vandœuvre-lès-Nancy, France; IFSI, centre psychothérapique de Nancy, 1, rue du Docteur-Archambault, 54521 Laxou cedex, France.
ThEMAS TIMC-IMAG (UMR CNRS 5525), domaine de la Merci, CHU de Grenoble, 38706 La Tronche cedex, France.
Orthop Traumatol Surg Res. 2015 Apr;101(2):133-5. doi: 10.1016/j.otsr.2014.10.020. Epub 2015 Feb 7.
Patient information is governed by recommendations of best practices required from any healthcare professional. The aim of this study was to design a tool to measure patient comprehension of the information provided during a surgical consultation before a scheduled surgery.
This was a single-center prospective study of 21 patients using a rating scale-type visual analog scale. Each patient was interviewed and asked to score his or her understanding of the information provided. The investigator checked the external validity of the tool using questions to assess patient's understanding level.
The results show that there is a tendency to overvalue some information (reasons for the intervention and alternatives to surgery) and that certain information is not understood (risks and complications) or not provided (postoperative follow-up).
This study confirms that a rating scale can measure the understanding of information and there is a variation between perceived and actual understanding.
患者信息受任何医疗保健专业人员所需最佳实践建议的约束。本研究的目的是设计一种工具,以衡量患者对预定手术前外科会诊期间提供的信息的理解程度。
这是一项针对21名患者的单中心前瞻性研究,采用评分量表式视觉模拟量表。对每位患者进行访谈,并要求其对所提供信息的理解程度进行评分。研究者通过提问来评估患者的理解水平,以此检验该工具的外部效度。
结果显示,存在高估某些信息(干预原因和手术替代方案)的倾向,并且某些信息未被理解(风险和并发症)或未被提供(术后随访)。
本研究证实,评分量表可以衡量对信息的理解,并且感知到的理解与实际理解之间存在差异。