视频同意显著提高了患者对整体外科手术程序的知识
Kristin Bremer1, Emily Brown1, Rachel Schenkel1
1Department of Surgery, Creighton University School of Medicine, Creighton University, 7710 Mercy Road, Education Building, Suite 501, Omaha, NE, 68124, USA.
Surgical endoscopy
|June 26, 2024
概括
与标准同意相比,视频同意显著提高了患者对一般外科手术程序的知识. 虽然满意度没有显著差异,但视频同意提供了一种有希望的方法来提高患者的理解.
科学领域:
- 医学教育 医学教育
- 手术手术手术手术手术手术手术手术手术手术
- 在知情同意的情况下同意.
背景情况:
- 知情同意对于患者了解病情,治疗和风险至关重要.
- 评估标准同意的替代方法对于改善患者理解是必不可少的.
研究的目的:
- 为了比较视频同意与标准同意在增强患者知识方面的有效性.
- 评估视频同意对整体外科患者满意度的影响.
主要方法:
- 118名接受普通普通外科手术的患者被随机分为标准或视频同意.
- 通过前测试和后测试来评估知识;同意后和退院后立即进行满意度调查.
- 一个线性混合效应模型分析了知识和满意度的变化,重点关注同意类型和时间之间的相互作用效应.
主要成果:
- 与标准同意组相比,视频同意组的程序知识显著增加 (相互作用p=0.043).
- 两组都显示同意后知识增加,但视频同意带来了更大的改善 (视频:0.68与标准:0.25).
- 两组患者的满意度在出院后都下降,在两组之间的这种下降幅度上没有统计学上显著的差异 (相互作用p=0.309).
结论:
- 视频同意显著提高了患者对拟议的一般外科手术程序的知识.
- 虽然患者满意度没有显著差异,但趋势表明潜在的好处.
- 建议将视频同意纳入一般手术的常规实践,以改善患者的理解.
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