Esperto Francesco, Cacciatore Loris, Tedesco Francesco, Brassetti Aldo, Testa Antonio, Raso Gianluigi, Iannuzzi Andrea, Papalia Rocco, Scarpa Roberto Mario
Department of Urology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, 00128 Rome, Italy.
Department of Urology, IRCCS "Regina Elena" National Cancer Institute, 00128 Rome, Italy.
J Pers Med. 2023 Jun 19;13(6):1013. doi: 10.3390/jpm13061013.
In the age of information, new platforms are consulted by patients to acquire consciousness about medical treatments. The aim of this study was to assess the level of understanding and feasibility of video consensus (VC) administration in patients scheduled for radical prostatectomy (RP), comparing it with standard informed consensus (SIC). According to the European Association of Urology Patient Information, we set up a video content for RP that was translated in Italian and implemented with information about possible perioperative and postoperative complications, days of hospitalization etc. From 2021 to 2022, all patients undergoing RP at our institution were prospectively included in this study. Patients received an SIC and after that, a VC about RP. After two consensuses were administered, patients received a preformed Likert 10 scale and STAI questionnaires. On the RP dataset, 276 patients were selected and 552 questionnaires for both SIC and VC were evaluated. Out of these, the median age was 62 years (IQR 60-65). Patients reported a higher overall satisfaction for VC (8.8/10) compared to the traditional informed consent (6.9/10). Therefore, VC may play a role in the future of surgery, improving the consciousness and satisfaction of patients and reducing preoperative anxiety.
在信息时代，患者会借助新平台来了解医疗治疗相关知识。本研究的目的是评估在计划接受根治性前列腺切除术（RP）的患者中视频共识（VC）管理的理解程度和可行性，并将其与标准知情共识（SIC）进行比较。根据欧洲泌尿外科学会患者信息，我们制作了一个关于RP的视频内容，并翻译成意大利语，同时加入了有关围手术期和术后可能出现的并发症、住院天数等信息。2021年至2022年，我们机构所有接受RP的患者均被前瞻性纳入本研究。患者先接受SIC，之后再接受关于RP的VC。在进行了两次共识管理后，患者收到一份预先设定的李克特10级量表和状态特质焦虑问卷（STAI）。在RP数据集中，选取了276名患者，对552份SIC和VC问卷进行了评估。其中，年龄中位数为62岁（四分位间距为60 - 65岁）。与传统知情同意（6.9/10）相比，患者对VC的总体满意度更高（8.8/10）。因此，VC可能在未来的手术中发挥作用，提高患者的认知度和满意度，并减轻术前焦虑。
