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在肩膀和肘部手术的知情同意
Puru Sadh1, Antonio Almeda-Lopez2, Benjamin Hershfeld3,4,1
1Department of Orthopaedic Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA.
Cureus
|October 22, 2025
概括
肩膀和肘部手术的知情同意是不一致的,面临着诸如低健康素养和时间限制等障碍. 需要以患者为中心的策略来改善理解并减少医疗法律风险.
科学领域:
- 整形外科手术 整形外科手术
- 患者安全 患者安全
- 医学伦理 医学伦理
背景情况:
- 知情同意对于患者的自主权至关重要,但在骨科手术中不一致地应用.
- 由于复杂的结果和医疗法律风险,肩膀和肘部手术具有独特的挑战,影响同意.
- 关于当前在肩膀和肘部手术中的知情同意实践的证据有限.
研究的目的:
- 审查在肩膀和肘部手术中知情同意的文献.
- 识别有效沟通和患者理解的障碍.
- 突出改善知情同意流程的策略.
主要方法:
- 在PubMed,Web of Science和Scopus上进行了系统的文献搜索.
- 符合条件的研究重点是知情同意的质量,理解,期望,干预措施或肩膀和肘部手术中的医疗法律结果.
- 在这个子专业中,不直接涉及知情同意的研究被排除在外.
主要成果:
- 关于同意质量的定量数据是有限的,尽管与不充分的同意相关的高失职率.
- 关键障碍包括健康素养低,语言不一致,医生培训不足和时间限制.
- 患者的期望差异很大,需要进行个性化的同意讨论.
结论:
- 提出了多方面的以患者为中心的方法,包括回教,简单的语言,视觉辅助工具,结构化培训,口译服务和劳动力多样性.
- 未来的研究应该验证专业特定的框架,整合数字工具,并使用定量结果指标.
- 系统范围内的实施可以增强自主性,信任,降低医疗法律风险,改善外科手术结果.
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