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Consentimiento mejorado y preparación para la cirugía: un ensayo controlado aleatorizado
Carson F Woodbury1, Hayley C Barnes1, Menaka Yadav1
1Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, IL.
Urogynecology (Philadelphia, Pa.)
|February 13, 2026
Resumen
Una ayuda de decisión audiovisual (AVDA) para cirugía uroginecológica no mejoró la preparación del paciente, independientemente de la alfabetización en salud. La preparación se mantuvo alta tanto en el grupo de AVDA como en el de consentimiento estándar.
Área de la Ciencia:
- Uroginecología
- Educación Médica
- Comunicación con el Paciente
Sus antecedentes:
- Las ayudas de decisión previas para pacientes en uroginecología no mostraron beneficio, potencialmente debido a altos niveles de lectura.
- La comunicación efectiva con el paciente es crucial para la preparación y satisfacción quirúrgicas.
Objetivo del estudio:
- Evaluar si una ayuda de decisión audiovisual (AVDA) por debajo de un nivel de lectura de octavo grado impacta la preparación para la cirugía en pacientes de uroginecología.
- Evaluar la correlación entre la alfabetización en salud y la preparación.
- Medir la satisfacción del paciente con las decisiones quirúrgicas.
Principales métodos:
- Un ensayo controlado aleatorizado comparó el uso de AVDA con el consentimiento informado estándar para cirugías de prolapso de órganos pélvicos o incontinencia urinaria.
- La preparación se midió utilizando el cuestionario "Preoperative Preparedness For Surgery".
- También se evaluó la alfabetización en salud y la satisfacción posoperatoria.
Principales resultados:
- No se encontró una diferencia significativa en la preparación para la cirugía entre el grupo de AVDA y el grupo de consentimiento estándar (98,7% preparado en ambos).
- La preparación se mantuvo alta incluso para pacientes con baja alfabetización en salud.
- Se informó una alta satisfacción con las decisiones quirúrgicas en ambos grupos.
Conclusiones:
- Una AVDA escrita en un nivel de lectura más bajo no mejoró significativamente la preparación para la cirugía en pacientes de uroginecología.
- Se observaron altos niveles de preparación y satisfacción en ambos grupos de intervención y control.
- Las futuras ayudas de decisión pueden necesitar diferentes enfoques para demostrar beneficios significativos.
Palabras clave:
preparación para la cirugíaayudas de decisión audiovisualesuroginecologíaconsentimiento informadoalfabetización en saludsatisfacción del pacienteMás Videos Relacionados
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