对 laparoscopic 胆囊切除术的知情同意对话的观点进行比较
Stephanie M Cohen1, Holly Bernard2, Eduardo A Vega2
1Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
The Journal of surgical research
|July 2, 2025
概括
参与手术的外科医生和住院医生对胆囊切除术的知情同意细节有不同的看法. 住院医生可能需要更多的培训来讨论胆道损伤风险和术后手术程序,如内镜逆行胆血管细胞造影.
科学领域:
- 外科教育的外科教育
- 在知情同意的情况下同意.
- 患者沟通 患者沟通
背景情况:
- 胆囊切除术是一种常见的程序,在知情同意细节上没有共识.
- 了解患者的沟通对于伦理的外科实践至关重要.
研究的目的:
- 为了比较参与手术的外科医生和住院医生的观点,关于在腹腔镜胆囊切除术中获得知情同意的基本信息.
- 确定经验丰富的外科医生和实习生之间沟通优先事项的差异.
主要方法:
- 电子调查分发给60名主治外科医生和105名整形外科住院医生.
- 对胆囊切除术的风险,益处,替代方案和术后期望的评估意见.知情同意.
主要成果:
- 在讨论常见风险 (出血,感染,胆汁泄漏等) 方面没有显著差异. ) 的情况.
- 与住院医生相比,临床医生更有可能讨论术后内镜逆行胆血管细胞造影 (74%vs37.5%) 和胆道树损伤 (100%vs85%).
结论:
- 与出席相比,居民对基本知情同意组件的理解存在差距.
- 强调需要进行结构化的培训,讨论胆道损伤和ERCP在胆囊切除术知情同意中的作用.
- 倡导改善居民对知情同意过程的教育.
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