Boztaş Nilay, Özbilgin Şule, Öçmen Elvan, Altuntaş Gözde, Özkardeşler Sevda, Hancı Volkan, Günerli Ali
Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
Turk J Anaesthesiol Reanim. 2014 Jun;42(3):140-4. doi: 10.5152/TJAR.2014.94547. Epub 2014 Mar 11.
Informed consent forms that are used prior to administering anaesthesia inform patients before any proposed surgical procedure or treatment. They should provide patients with sufficient information about the operation and treatment. Readibility refers to whether it is easy or hard for a reader to read and understand an available text, and this is evaluated via various formulas. The aim of this study was to evaluate the readability of different informed consent forms commonly used in the anaesthesiology departments of different hospitals in our country using different readability formulas.
After obtaining ethics committee approval, the readability of different consent forms used in the anaesthesiology departments of university hospitals (n=15), Ministry of Health (MOH) education and research hospitals (n=15), and public hospitals (n=15) was analysed. Each consent form was displayed electronically in "Microsoft Word" and the number of words contained was counted automatically. The first 100 words on the first page of the forms were evaluated using the Gunning Fog, Flesch-Kincaid and Ateşman readability formulations. The rate of medical terms detected within these 100 words was determined as a percentage (%).
Different consent forms obtained from 45 anaesthesia departments were assessed using various readability formulas. According to the Gunning Fog index, the readability of the consent forms obtained from MOH education and research and public hospitals was relatively low. The Flesch-Kincaid index measured very low levels of readability in all institutions. The Ateşman index displayed very low readability levels for the consent forms used in university hospitals, and low levels in other institutions.
We conclude that the readability of the anaesthesia informed consent forms is low. The level of education in our country should be considered in the preparation of anaesthesia consent forms. We believe that physicians should pay more attention to this medical and legal issue.
麻醉前使用的知情同意书在任何拟议的外科手术或治疗前告知患者。它们应向患者提供有关手术和治疗的充分信息。可读性指读者阅读和理解现有文本的难易程度，这通过各种公式进行评估。本研究的目的是使用不同的可读性公式评估我国不同医院麻醉科常用的不同知情同意书的可读性。
获得伦理委员会批准后，分析了大学医院（n = 15）、卫生部（MOH）教育和研究医院（n = 15）以及公立医院（n = 15）麻醉科使用的不同同意书的可读性。每份同意书以电子方式显示在“Microsoft Word”中，并自动统计所含单词数量。使用冈宁雾度、弗莱施-金凯德和阿泰斯曼可读性公式对表格第一页的前100个单词进行评估。确定这100个单词中检测到的医学术语的比例（%）。
使用各种可读性公式对从45个麻醉科获得的不同同意书进行了评估。根据冈宁雾度指数，从卫生部教育和研究医院以及公立医院获得的同意书的可读性相对较低。弗莱施-金凯德指数在所有机构中测得的可读性水平都非常低。阿泰斯曼指数显示大学医院使用的同意书的可读性水平非常低，而在其他机构中则较低。
我们得出结论，麻醉知情同意书的可读性较低。在准备麻醉同意书时应考虑我国的教育水平。我们认为医生应更加关注这个医学和法律问题。
