Kitcher E D, Searyoh K, Abaidoo B, Siale W, Sackitey S, Nyamekye E
E.N.T. Unit, Department of Surgery, Korle Bu Teaching Hospital, P.O. Box 77, Korle Bu, Accra, Ghana.
Department of Surgery, Ophthalmology Unit, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
J West Afr Coll Surg. 2018 Jul-Sep;8(3):85-105.
"Informed consent" for surgery has been widely researched; however, there is no local data on surgical risk recall by care givers' (usually a parent) of children undergoing adenotonsillectomy (Ts &A).
This study evaluated care givers' recall of the surgical risks for Ts&A after verbal explanation compared to combined verbal and written explanation in the informed consent process.
This was a prospective randomized comparative study of fifty parents/guardians of patients undergoing tonsillectomy and adenoidectomy for obstructive sleep disorders.
The E.N. T. Unit, Korle Bu Teaching Hospital, Accra, Ghana.
Parents/guardians of children were randomized to only verbal explanation or combined verbal and written explanations prior to signing informed consent a day before their wards' operation. Recall of surgical risks explained in the informed consent procedure was evaluated two days postoperatively. The rates of surgical risk recall for the two groups were analysed and compared.
There were no significant differences in the demographic characteristics of the parents/guardians. The overall recall rate for surgical risks for the whole group was 46.0%. The surgical risk recall rate for the verbal explanation group, 44.4% was not significantly different from that for the combined verbal and written explanation group, 47.2% (p=0.624). There was a weak but significant positive correlation between risk recall scores and parental level of education (Spearman r=0.306; p = 0.015).
Among parents/guardians whose children were undergoing adenotonsillectomy, combining written explanation with verbal explanation in the informed consent process did not significantly improve postoperative surgical risks recall rate when compared with only verbal explanation. The overall risk recall rate was 46.0%. A study with larger sample sizes is recommended to confirm these findings.
手术“知情同意”已得到广泛研究；然而，关于接受腺样体扁桃体切除术（Ts&A）的儿童的护理人员（通常是父母）对手术风险的记忆，尚无本地数据。
本研究评估了在知情同意过程中，与口头和书面解释相结合相比，口头解释后护理人员对Ts&A手术风险的记忆情况。
这是一项针对五十名因阻塞性睡眠障碍接受扁桃体切除术和腺样体切除术患者的父母/监护人的前瞻性随机对照研究。
加纳阿克拉科尔勒布教学医院耳鼻喉科。
在患儿手术前一天签署知情同意书之前，将患儿的父母/监护人随机分为仅接受口头解释组或接受口头和书面解释组。术后两天评估对知情同意程序中所解释的手术风险的记忆情况。分析并比较两组的手术风险记忆率。
父母/监护人的人口统计学特征无显著差异。整个组的手术风险总体记忆率为46.0%。口头解释组的手术风险记忆率为44.4%，与口头和书面解释相结合组的47.2%无显著差异（p = 0.624）。风险记忆分数与父母教育水平之间存在微弱但显著的正相关（斯皮尔曼r = 0.306；p = 0.015）。
在其子女接受腺样体扁桃体切除术的父母/监护人中，与仅进行口头解释相比，在知情同意过程中将书面解释与口头解释相结合并不能显著提高术后手术风险记忆率。总体风险记忆率为46.0%。建议进行更大样本量的研究以证实这些发现。
