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健康受试者对手术并发症的认知:一项基于医院的调查。

Healthy subjects' knowledge of surgical complications: a hospital-based survey.

出版信息

Turk J Med Sci. 2015;45(4):888-94. doi: 10.3906/sag-1405-70.

Abstract

BACKGROUND/AIM: There is an ongoing debate about how much a patient should know about serious or frequently occurring risks of their surgery. In this study, we evaluated healthy subjects' perspectives on knowledge of serious surgical complications.

MATERIALS AND METHODS

Three hundred and thirty healthy subjects (151 women, 179 men; mean age: 43.6 ± 17.3 years) were surveyed with the study questionnaire. Social profile, surgical history of the healthy subjects, and presence of a relative while giving preoperative consent were assessed.

RESULTS

Only 23.5% (39/166) of the subjects were informed about all the potential complications of their previous surgical operation and 44.9% (73/166) did not get any preoperative consent on surgical complications. A statistically significant percentage of subjects who did not get proper information about the serious complications involved in their surgery indicated a desire for preoperative informed consent (97.0%, 128/132, P = 0.0001).

CONCLUSION

The results indicated that a significant percentage of the subjects wanted to be informed of the potential complications of a surgery in the presence of a relative (73.9%, 192/260, P = 0.009). Involving a relative in preoperative consent may have a positive effect on the patient and can increase the level of postoperative recall of the risks.

摘要

背景/目的:关于患者应该了解多少关于其手术的严重或频繁发生的风险,目前存在争议。在这项研究中,我们评估了健康受试者对严重手术并发症知识的看法。

材料和方法

对 330 名健康受试者(151 名女性,179 名男性;平均年龄:43.6 ± 17.3 岁)进行了研究问卷调查。评估了社会状况、健康受试者的手术史以及术前同意时是否有亲属在场。

结果

仅 23.5%(39/166)的受试者被告知其先前手术的所有潜在并发症,44.9%(73/166)的受试者未就手术并发症获得任何术前同意。有相当比例的受试者没有得到关于其手术中涉及的严重并发症的适当信息,他们表示希望获得术前知情同意(97.0%,128/132,P = 0.0001)。

结论

结果表明,相当比例的受试者希望在亲属在场的情况下被告知手术的潜在并发症(73.9%,192/260,P = 0.009)。让亲属参与术前同意可能对患者产生积极影响,并可以提高术后对风险的回忆水平。

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