在关节骨折手术前告诉病人真相
Rawan Masarwa1, Merav Ben Natan2, Yaron Berkovich1
1The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel.
BMC medical ethics
|June 19, 2024
概括
很少有骨科外科医生讨论部骨折修复后的一年死亡风险. 外科医生避开这个话题,以防止患者的痛苦,引用时间限制和希望问题. 诸如外科医生的自我效能,年龄和专业等因素影响了这种沟通.
科学领域:
- 整形外科手术 整形外科手术
- 患者沟通 患者沟通
- 外科手术的结果
背景情况:
- 部骨折修复手术涉及显著的死亡风险.
- 整形外科医生可能不会在手术前与患者讨论这种死亡风险.
研究的目的:
- 为了调查骨科外科医生是否在关节骨折修复之前讨论手术后一年的死亡风险.
- 确定影响外科医生讨论死亡风险的决定的因素.
主要方法:
- 横截面研究设计. 截面研究设计.
- 对150名骨科外科医生进行验证的数字问卷.
主要成果:
- 少数外科医生总是向患者告知一年死亡风险.
- 不讨论风险的原因包括患者的痛苦,时间限制和破坏希望.
- 较高的外科医生自我效能与不太频繁地讨论死亡风险相关.
- 更年长的外科医生年龄和专家地位与死亡风险的讨论增加有关.
结论:
- 需要进行干预措施,以改善有关部骨折手术中的死亡风险的沟通.
- 解决沟通障碍和提供患者信息至关重要.
- 外科医生的自我效能,年龄和专业知识是改善骨科患者提供者沟通的重要因素.
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