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对结直肠外科手术的当地同意实践的审查,重点是术后肠功能障碍
Mahir H Sampat1, Sanaa Elgaddal2,3
1General Surgery, The Royal Wolverhampton National Health Service (NHS) Trust, Wolverhampton, GBR.
很少有结直肠手术患者被告知潜在的肠道功能障碍. 讨论这种长期后果对于知情同意和改善手术后生活质量至关重要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术同意 实践 手术同意
- 患者的生活质量.
背景情况:
- 长期的肠道功能障碍显著影响结直肠手术后的生活质量.
- 在知情同意过程中,常常缺乏对肠道功能障碍的充分讨论.
- 这种缺陷会影响患者的理解和期望.
研究的目的:
- 评估结直肠外科手术的同意实践.
- 为了确定同意肠道功能障碍的患者的百分比.
- 强调需要改善患者咨询的必要性.
主要方法:
- 分析了48个同意表格,用于保护关节的结直肠手术.
- 审查有关肠道功能障碍和其他并发症的文档.
- 数据收集发生在2024年8月至11月期间,仅在一个机构.
主要成果:
- 只有22.9% (11/48) 的同意表格记录了术后肠道功能障碍的讨论.
- 在39.6%的 (19/48) 病例中,术后疼痛是未经记录的.
- 在16.6% (8/48) 的形式中,并没有报告道泄漏,而静脉血栓栓塞和周围结构损伤是由大多数患者同意的.
结论:
- 在为患者提供有关肠道功能障碍的咨询方面存在很大的差距.
- 讨论肠道功能障碍应该是结直肠手术同意的标准做法.
- 改善沟通可以提高患者的理解和准备能力.
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