Westreich L, Levine S, Ginsburg P, Wilets I
Beth Israel Medical Center, New York, New York, USA.
Convuls Ther. 1995 Mar;11(1):32-7.
We wished to ascertain whether the addition of an informational video to the informed consent procedure for electroconvulsive therapy (ECT) results in improved patient knowledge about ECT. Eighteen ECT patients were randomized to consent using the usual written document or using the written document and an informational video. The two groups were similar when compared on demographic variables and scores on the Brief Psychiatric Rating Scale (BPRS) and Mini-Mental State Examination (MMSE). Each subject, just after signing the informed consent document, was administered an 8-question ECT knowledge questionnaire. The addition of an informational video to the consent process for ECT did not result in improved knowledge about ECT. Poor knowledge about ECT might be accounted for by unsuccessful communication from the doctors or cognitive impairment and apathy on the part of the patients. One benefit of the video was increased interest from family members in ECT and the consent process.
我们希望确定在电休克治疗（ECT）的知情同意程序中增加一段信息视频是否能提高患者对ECT的了解。18名ECT患者被随机分为两组，一组使用常规书面文件进行同意，另一组使用书面文件并观看信息视频。在人口统计学变量以及简明精神病评定量表（BPRS）和简易精神状态检查表（MMSE）的得分方面，两组相似。每个受试者在签署知情同意文件后，立即接受一份包含8个问题的ECT知识问卷测试。在ECT同意过程中增加信息视频并没有提高患者对ECT的了解。对ECT了解不足可能是由于医生沟通不畅或患者认知障碍及冷漠所致。该视频的一个好处是家庭成员对ECT及同意过程的兴趣增加。
