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Effect of informed consent and educational background on patient knowledge, anxiety, and subjective responses to
Insights
Informed consent for cardiac catheterization revealed knowledge gaps, especially in less educated patients. Educational level impacts patient understanding and emotional experience during hospitalization.
Area of Science:
- Cardiology
- Medical Education
- Patient Experience
Background:
- Effective informed consent is crucial for patient understanding and managing expectations during medical procedures.
- Cardiac catheterization involves complex information that patients must comprehend for a positive healthcare experience.
Purpose of the Study:
- To assess the impact of informed consent on patient knowledge and emotional experience after cardiac catheterization.
- To identify deficiencies in patient understanding following informed consent discussions.
- To explore the relationship between patient education level and knowledge acquisition.
Main Methods:
- A prospective study involving 34 patients undergoing elective cardiac catheterization.
- Utilized three questionnaires administered during hospitalization to gather data.
- Data collection focused on knowledge about the procedure and emotional responses.
Main Results:
- Significant knowledge deficiencies were identified post-informed consent.
- Patient's emotional experience and procedural knowledge were linked to their educational background.
- Lower educational attainment correlated with reduced understanding of cardiac catheterization.
Conclusions:
- Current informed consent practices for cardiac catheterization may not adequately address all patient educational levels.
- Tailoring informed consent sessions to patient education levels is recommended to improve comprehension.
- Enhancing educational strategies can improve patient knowledge and emotional well-being during hospitalization.
Abstract:
Thirty-four patients undergoing elective cardiac catheterization were followed linearly with three questionnaires during their hospitalization to study some of the effects of informed consent. Patients learn about catheterization from the informed consent session conducted by a cardiology fellow. Several areas of knowledge deficiency were found. The emotional experience of hospitalization and the amount of knowledge about catheterization determined at the end of hospital stay is shown to be dependent on the educational level of the patient. Several recommendations are made for the conduct of the informed consent sessions to improve the knowledge of the less educated.