García-García E M, Sánchez-Sabater B, Medrano-Morte I, Luna-Maldonado A
Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario JM Morales Meseguer, Murcia, España.
Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario JM Morales Meseguer, Murcia, España.
Rev Esp Cir Ortop Traumatol (Engl Ed). 2019 Sep-Oct;63(5):355-360. doi: 10.1016/j.recot.2019.04.001. Epub 2019 May 7.
The clinical information process is the basis of the doctor-patient relationship. It starts with the information provided before signing informed consent and ends on the termination of the doctor-patient relationship. The influence of demographic variables in the information process has not been thoroughly studied for inpatients undergoing surgery. In this study we aim to answer two questions: 1) Does gender have an influence on the information process for these patients? 2) Are there other factors that affect the process?
A prospective study carried out using an 'ad hoc' designed survey on a 200-inpatient sample after undergoing surgery in the trauma and orthopaedics department of our hospital. Sampling was simple random.
We found differences in the consistency of the answers by gender in the question regarding surgical priority, with the women having a better understanding of it (p=.04). The rest of the questions show no differences by gender. However, in the population analyzed, age and educational level are the main modifiers of understanding, and they are both related to gender (p<.0001; p=.003, respectively).
In clinical practice, it is fundamental to keep in mind the factors that affect the information process. According to our results, the factors that define greater vulnerability in relation to the information process are age and low educational level.
临床信息过程是医患关系的基础。它始于签署知情同意书之前提供的信息,并在医患关系终止时结束。对于接受手术的住院患者,人口统计学变量在信息过程中的影响尚未得到充分研究。在本研究中,我们旨在回答两个问题:1)性别对这些患者的信息过程有影响吗?2)是否有其他因素影响该过程?
采用专门设计的调查问卷,对我院创伤与骨科手术后的200名住院患者样本进行前瞻性研究。抽样为简单随机抽样。
我们发现,在关于手术优先级的问题上,不同性别的回答一致性存在差异,女性对此有更好的理解(p = 0.04)。其他问题在性别上没有差异。然而,在分析的人群中,年龄和教育水平是理解的主要调节因素,并且它们都与性别相关(分别为p < 0.0001;p = 0.003)。
在临床实践中,牢记影响信息过程的因素至关重要。根据我们的结果,在信息过程中定义更大脆弱性的因素是年龄和低教育水平。