通过多媒体工具增强儿童脊髓外科的知情同意:综合性审查
Marina Rosa Filezio1,2, Nishan Sharma1, Jennifer Thull-Freedman3,4
1Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Frontiers in pediatrics
|August 5, 2024
概括
获得儿童脊椎手术的知情同意 (IC) 是复杂的. 多媒体工具和共享决策 (SDM) 可以改善患者的理解,并减少手术前的焦虑.
科学领域:
- 儿科手术 儿科手术
- 在知情同意的情况下同意.
- 医学伦理 医学伦理
背景情况:
- 儿科脊柱手术涉及重大风险,包括疼痛,神经损伤和死亡率.
- 获得有效的知情同意 (IC) 是至关重要的,但在儿科病例中具有挑战性.
- 患者和监护人经常在紧张的医疗情况中难以理解.
研究的目的:
- 审查儿童脊柱手术中获得知情同意的最佳实践.
- 评估患者/监护人对手术IC的理解.
- 探索多媒体工具在促进理解方面的作用.
主要方法:
- 对现有文献进行全面的小型综述.
- 对知情同意的法律和伦理观点的评估.
- 对实现患者理解的挑战进行分析.
主要成果:
- 患者和监护人面临理解挑战,特别是在压力下.
- 多媒体工具可以提高理解,减少手术前的不确定性.
- 对儿科患者来说,需要针对IC的量身定制方法.
结论:
- 多媒体工具提供了一个以患者为中心的策略,以改善IC.
- 共享决策 (SDM) 可以在外科讨论中发挥至关重要的作用.
- 有效的IC需要解决患者的理解和减少焦虑.
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