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知情同意 - - 患者对风险的理解
Tyson R Wijohn1, Ruth M Newcombe2, Julia Reynolds3
1Medical Student, The University of Auckland, Auckland, New Zealand.
许多患者很难理解知情同意的基本概率. 亚洲族裔和年龄较大与较低的理解能力有关,这表明需要有针对性的沟通策略.
科学领域:
- 医学伦理 医学伦理
- 卫生识字 卫生识字
- 生物统计学 生物统计学
背景情况:
- 知情同意依赖于沟通概率风险和好处.
- 个体患者对这些概率的理解对于道德医学决策至关重要.
- 目前对患者对知情同意所需的基本概率概念的理解是有限的.
研究的目的:
- 评估患者对基本概率概念的理解,这些概念对于知情同意至关重要.
- 识别与风险理解差异相关的人口因素.
主要方法:
- 一份包含五个非医学概率问题的问卷被分配给了478名患者.
- 参与者根据护士对足够英语素养的评估进行了选择.
- 统计分析,包括多重线性回归,用于评估分数.
主要成果:
- 患者在概率问题上平均得分为5分之3.2分.
- 亚洲患者的得分明显低 (2.6) 比欧洲患者 (3.6).
- 亚洲族裔和老年是较低分数的独立预测因素; 贫困和性不是.
结论:
- 虽然许多患者表现出合理的风险理解,但存在重大差距.
- 干预措施应针对老年患者,亚裔患者以及英语为第二语言的个人.
- 增加对口译员的使用可能会改善对不同患者群体的理解.
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