视频辅助心脏成像知情同意:对CT-随机对照VAICICI试验期间患者体验的影响
Robin F Gohmann1,2, Sophia M Mettke3,4, Christian Krieghoff3
1Department of Diagnostic and Interventional Radiology, Heart Center Leipzig, Leipzig, Germany. robin.gohmann@gmx.de.
European radiology
|June 27, 2025
概括
视频辅助知情同意显著提高了患者对心脏CT扫描的满意度和理解. 虽然它不会减少焦虑,但这种方法对于改善心脏计算机断层扫描 (CT) 期间的患者体验是有价值的.
科学领域:
- 放射学和医学成像学 医学成像学
- 患者体验和沟通
- 信息化同意程序 信息化同意程序
背景情况:
- 患者的遵从性和舒适性对于心脏计算机断层扫描 (CT) 成功至关重要.
- 焦虑和缺乏理解可能会对心脏CT结果产生负面影响.
- 视频辅助知情同意被探索为一种改善患者准备的方法.
研究的目的:
- 评估心脏成像视频辅助知情同意 (VAICICI) 的有效性.
- 评估心脏CT期间患者满意度,准备度和焦虑度的改善.
- 为了比较不同的视频格式与标准的医生咨询.
主要方法:
- 一项随机对照试验,涉及205名接受心脏CT的患者.
- 患者被分配到视频I (视觉,叙述,字幕),视频II (音频,字幕) 或控制 (标准咨询).
- 患者报告的结果在手术前后被测量,并对人口统计因素进行统计分析.
主要成果:
- 与对照组相比,这两组视频都显示出明显更高的患者满意度和理解度.
- 两种视频格式之间没有发现满意度的显著差异.
- 焦虑水平在各组中保持低且相似,尽管在女性和疑似冠状动脉疾病患者中更高.
结论:
- 视频辅助知情同意有效地提高了患者对心脏CT的满意度和理解.
- 该方法在各种人口因素中显示出一致的有效性.
- 虽然没有减少焦虑,VAICICI是以患者为中心的心脏成像实践的宝贵工具.
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