基于计算机的交互式知情同意对手术对决策冲突的影响
Sina Ramtin1, Floor Davids1, Amir Reza Farhoud1
1Department of Surgery and Perioperative Care, Division of Orthopedics, University of Texas at Austin Dell Medical School, Austin, TX.
The Journal of hand surgery
|May 13, 2024
概括
与标准表格相比,互动性外科同意表没有改善患者的决策或同情. 专注于外科医生与患者的对话,而不仅仅是信息格式,以获得更好的知情同意.
科学领域:
- 医学伦理 医学伦理
- 患者沟通 患者沟通
- 进行手术的同意.
背景情况:
- 知情同意对于合法和道德的外科护理至关重要.
- 传统的书面同意可能并不总是为患者的理解或体验提供最佳选择.
- 已经开发了交互式同意工具,以潜在地加强这个过程.
研究的目的:
- 将交互式知情同意与标准书面同意进行比较.
- 识别与决策冲突和患者评级临床医生同情心相关的因素.
- 探索影响患者对同意过程信息化,舒适和满意的评价的因素.
主要方法:
- 94名接受常见手术的成年患者被随机分类.
- 53人获得了交互式同意; 41人获得了标准的书面同意.
- 评估决策冲突,医生同情和对同意过程的满意度.
主要成果:
- 同意格式没有显著影响决策冲突或患者舒适度.
- 患者对手术的偏好与评价同意的信息性有关,而不是格式.
- 较高的患者报告的无助思想与更大的决策冲突相关.
结论:
- 交互式同意工具与标准格式相比没有显著的优势.
- 改善知情同意可能更多地取决于患者和外科医生的对话,而不是介绍方法.
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