Saw K C, Wood A M, Murphy K, Parry J R, Hartfall W G
Department of Urology, Ipswich Hospital, Suffolk, UK.
J R Soc Med. 1994 Mar;87(3):143-4.
The ability of patients to understand and recall information given prior to obtaining written consent was assessed in 55 patients who were due to undergo the operation of transurethral resection of prostate. The patients were also asked their opinion on informed consent. Most patients knew the position of the prostate and the purpose of the operation. Some aspects of the postoperative management and complications were less well remembered. In particular, 18% of the patients could not remember the possibility of retrograde ejaculation despite efforts to emphasize this. Of the patients who returned their questionnaires, 41% did not mind what happened to them provided they were made better; 54% trusted their doctor to do the right thing and did not think detailed explanation was important; 62% felt that consent forms are to protect the doctor's right; still most patients felt that consent forms were necessary. Sub-groups comparison showed no relationship between patients' attitude and their ability to recall information.
在55例即将接受经尿道前列腺切除术的患者中，评估了他们在获得书面同意之前理解和回忆所提供信息的能力。还询问了患者对知情同意的看法。大多数患者知道前列腺的位置和手术目的。术后管理和并发症的某些方面记忆较差。特别是，尽管努力强调逆行射精的可能性，但仍有18%的患者记不住。在返回问卷的患者中，41%的患者表示只要病情好转，他们不介意自己会发生什么；54%的患者信任医生会做出正确的决定，认为详细解释并不重要；62%的患者认为同意书是为了保护医生的权利；不过大多数患者仍觉得同意书是必要的。亚组比较显示患者的态度与其回忆信息的能力之间没有关系。
