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医学和外科临床程序的知情同意书的可读性:系统审查
José Manuel García-Álvarez1,2, Alfonso García-Sánchez3,4
1Resident Intern of Family and Community Medicine, Hospital Comarcal del Noroeste, 30400 Caravaca, Murcia, Spain.
医疗程序的知情同意表格往往难以阅读,阻碍了患者的理解和决策. 简化这些文件对于有效的患者沟通至关重要.
科学领域:
- 医学伦理 医学伦理
- 卫生沟通健康沟通
- 患者教育 患者教育
背景情况:
- 知情同意表格对于患者在医疗和外科手术过程中的自主性至关重要.
- 这些形式的复杂语言可能会阻碍患者的理解和知情决策.
研究的目的:
- 系统地审查和分析临床实践中使用的知情同意表格的可读性.
- 识别不同语言和形式的可读性问题的程度.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,Embase和Google Scholar中搜索了过去10年发表的关于知情同意表格可读性的研究.
- 包括使用数学可读性公式的初级研究.
主要成果:
- 26项研究分析了13940个形式,从664个已识别的形式中选择了26项研究.
- 大多数 (76.3%) 的知情同意表格的可读性很差.
- 只有英语,西班牙语和土耳其语的形式有适应的可读性索引;Flesch Reading Ease是常见的,但建议使用特定语言的索引.
结论:
- 大多数知情同意表格给患者带来了重大可读性挑战.
- 修订表格以提高清晰度,使其适应特定语言,并进行定性研究是必要的.
- 提高可读性至关重要,以确保患者能够真正理解并做出明智的决定.
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