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一段用于知情同意的信息视频可提高全髋关节置换术前患者的理解度——一项随机对照试验

An informational video for informed consent improves patient comprehension before total hip replacement- a randomized controlled trial.

作者信息

von Hertzberg-Boelch Sebastian, Fuchs Konrad, Schubring Johanna, Rak Dominik, List Kilian, Horas Konstantin, Jakuscheit Axel, Rudert Maximilian

机构信息

LVR Clinic for Orthopaedics Viersen, Viersen, Germany.

Department of Orthopaedic Surgery, Julius-Maximilian University Wuerzburg, Wuerzburg, Germany.

出版信息

Int Orthop. 2025 Jun;49(6):1303-1308. doi: 10.1007/s00264-025-06503-6. Epub 2025 Apr 2.

Abstract

PURPOSE

Effective patient comprehension is critical for informed consent, particularly in Total Hip Arthroplasty (THA), a globally prevalent procedure. This study evaluates the efficacy of an informational video to improve the patients' understanding, self-perceived knowledge, and emotional comfort in the context of THA informed consent. This randomized controlled trial investigates the impact of an additional informational video on (I) the patients' understanding, (II) self-precepted knowledge and (III) emotional comfort during the informed consent process for THA.

METHODS

Participants were randomized to receive either the standard informed consent procedure or the standard procedure supplemented with an informational video. The effect of the video was tested with post-consent questionnaires.

RESULTS

The informational video significantly (p = 0.014) improved the patients' understanding from 78.6% to 86.5%. Self-precepted knowledge and Emotional comfort was not effected by the video (p = 0.986; p = 0.333).

CONCLUSIONS

The informational video significantly improved patient comprehension during the informed consent process before THA.

摘要

目的

有效的患者理解对于知情同意至关重要,尤其是在全髋关节置换术(THA)中,这是一种全球普遍开展的手术。本研究评估了一部信息视频在THA知情同意背景下提高患者理解、自我认知知识和情绪舒适度方面的效果。这项随机对照试验调查了额外的信息视频对THA知情同意过程中(I)患者理解、(II)自我认知知识和(III)情绪舒适度的影响。

方法

参与者被随机分为接受标准知情同意程序或补充信息视频的标准程序。视频的效果通过同意后问卷调查进行测试。

结果

信息视频显著(p = 0.014)将患者的理解从78.6%提高到了86.5%。自我认知知识和情绪舒适度未受视频影响(p = 0.986;p = 0.333)。

结论

信息视频在THA之前的知情同意过程中显著提高了患者的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c482/12075017/6727b423b3b1/264_2025_6503_Fig1_HTML.jpg

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