Garden A L, Merry A F, Holland R L, Petrie K J
Green Lane Hospital, Auckland, New Zealand.
Anaesth Intensive Care. 1996 Oct;24(5):594-8. doi: 10.1177/0310057X9602400516.
We developed and introduced into clinical practice a leaflet to improve the delivery of information to patients before obtaining their consent to anaesthesia. The amount of information needs to be what a "reasonable" patient thinks appropriate; therefore we tested patients' responses to three levels of information: "full" disclosure, "standard" disclosure (as contained in our leaflet) and "minimal" disclosure. Forty-five patients scheduled to undergo cardiac surgery were enrolled in the study. None of the information sheets caused a significant change in state anxiety score and only the "full" disclosure significantly increased knowledge about anaesthesia (P = 0.016). All leaflets were easy to understand. When only one leaflet was provided 64-73% of patients thought the content was "just right", whereas when all three leaflets were viewed together, 63% of patients thought the "minimal" leaflet withheld too much information.
我们编写并在临床实践中引入了一份传单，以改善在获得患者麻醉同意前向其提供信息的情况。信息的数量需要是“合理”患者认为合适的数量；因此，我们测试了患者对三种信息水平的反应：“全面”披露、“标准”披露（如我们传单中所包含的）和“最少”披露。45名计划接受心脏手术的患者参与了该研究。没有一份信息表导致状态焦虑评分有显著变化，只有“全面”披露显著增加了关于麻醉的知识（P = 0.016）。所有传单都易于理解。当只提供一份传单时，64 - 73%的患者认为内容“恰到好处”，而当同时查看所有三份传单时，63%的患者认为“最少”的传单隐瞒了太多信息。
