Dawes P J, Davison P
Sunderland Royal Infirmary, UK.
J R Soc Med. 1994 Mar;87(3):149-52. doi: 10.1177/014107689408700312.
Informed consent is an important aspect of surgery, yet there has been little inquiry as to what patients want to know before their operation. This study has questioned 50 patients within 3 months of an ENT (ear, nose and throat) operation. We found that most were happy to allow doctors to determine their treatment but they wanted to know about their condition, the treatment, and the important side effects. Fifty per cent of patients admitted worrying about some aspect of their recent surgery. More than two-thirds thought signing a consent form primarily signified agreement to undergo treatment and that it was a legal document; 54% thought there was an important medico-legal aspect. Over half thought information sheets would be reassuring, one-third thought they would provoke anxiety and 8% thought they would frighten them from having surgery. Closer examination of the answers to our questions showed that those who were most worried about aspects of their surgery had a higher mean anxiety score, as did those who thought an information sheet would be either frightening or anxiety provoking. However, a higher anxiety score was not associated with a desire to know less about the proposed treatment.
知情同意是手术的一个重要方面，但对于患者在手术前想了解什么却很少有人探究。本研究对50名接受耳鼻喉科手术3个月内的患者进行了询问。我们发现，大多数患者乐于让医生决定他们的治疗方案，但他们想了解自己的病情、治疗方法以及重要的副作用。50%的患者承认对近期手术的某些方面感到担忧。超过三分之二的患者认为签署同意书主要意味着同意接受治疗，并且它是一份法律文件；54%的患者认为存在重要的医疗法律方面的问题。超过一半的患者认为信息单会让人安心，三分之一的患者认为会引发焦虑，8%的患者认为会使他们不敢接受手术。对我们问题答案的进一步分析表明，那些对手术方面最担心的患者平均焦虑得分更高，那些认为信息单会令人恐惧或引发焦虑的患者也是如此。然而，较高的焦虑得分与对拟议治疗了解较少的愿望并无关联。
