Liu Jia-Wei, Tan Yan, Chen Tian, Qian Yue-Tong, Zhang Tao, Ma Dong-Lai
Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Dermatological and Immune Diseases, Beijing, China.
Front Med (Lausanne). 2023 Apr 27;10:1158842. doi: 10.3389/fmed.2023.1158842. eCollection 2023.
Picosecond lasers are widely used in dermatologic and cosmetic practice. In clinical practice, informed consent for laser treatments is critical to ensure patients' understanding of health information.
To evaluate whether video-based informed consent improves patient comprehension and satisfaction.
The study was performed from August 1 to November 30, 2022. Solar lentigines patients who fulfilled the inclusion criteria were included. Before October 1, 2022, traditional informed consent methods were performed. In the subsequent 2 months, a video-based informed consent was used as an adjunct to traditional consenting methods. Finally, patient comprehension of relevant knowledge about laser treatment and client satisfaction were assessed.
A total of 106 patients were included. The mean number of correct answers in the comprehension assessment in the video-based informed consent group was significantly higher than that in the traditional informed consent group (4.4 ± 1.2 vs. 3.4 ± 1.1, < 0.001). Compared to the traditional informed consent group, more correct answers in the video-based informed consent group were provided by older patients (3.9 ± 1.2 vs. 2.9 ± 1.1, = 0.004) and patients with lower education levels (4.1 ± 1.1 vs. 3.0 ± 1.2, < 0.001). The mean satisfaction score in the video-based informed consent group was significantly higher than that in the traditional informed consent (27.8 ± 5.7 vs. 24.3 ± 6.2, = 0.003).
Video-based informed consent helps patients learn clinical literacy more effectively and improves patient satisfaction, especially in those with lower education levels and older ages.
皮秒激光在皮肤科和美容领域广泛应用。在临床实践中，激光治疗的知情同意对于确保患者理解健康信息至关重要。
评估基于视频的知情同意是否能提高患者的理解能力和满意度。
本研究于2022年8月1日至11月30日进行。纳入符合纳入标准的日光性雀斑患者。2022年10月1日前采用传统知情同意方法。在随后的2个月中，将基于视频的知情同意作为传统同意方法的辅助手段。最后，评估患者对激光治疗相关知识的理解和客户满意度。
共纳入106例患者。基于视频的知情同意组在理解评估中的正确答案平均数显著高于传统知情同意组（4.4±1.2对3.4±1.1，<0.001）。与传统知情同意组相比，基于视频的知情同意组中年龄较大的患者（3.9±1.2对2.9±1.1，=0.004）和教育水平较低的患者（4.1±1.1对3.0±1.2，<0.001）给出的正确答案更多。基于视频的知情同意组的平均满意度得分显著高于传统知情同意组（27.8±5.7对24.3±6.2，=0.003）。
基于视频的知情同意有助于患者更有效地学习临床知识，并提高患者满意度，尤其是在教育水平较低和年龄较大的患者中。
