了解患者对创新外科手术程序的看法:定性证据综合和知情同意框架
Sanjay Kumar Yadav1, Devam Baderiya1, Aman Bakhsh1
1Netaji Subhash Chandra Bose Medical College and Hospital, Jabalpur, India.
Surgical innovation
|December 26, 2025
概括
患者信任外科创新,但往往误解其不确定性. 增强的同意流程,使用分层信息和共享决策,可以促进知情伙伴关系.
科学领域:
- 医学伦理 医学伦理
- 手术创新 在外科创新.
- 以患者为中心的护理
背景情况:
- 手术的进步对传统的知情同意模式提出了挑战.
- 了解患者对创新程序的看法对于道德实践至关重要.
研究的目的:
- 综合关于患者对创新外科手术的看法的定性证据.
- 开发一个以证据为基础的框架,以客户为中心,以伦理为中心的外科同意.
主要方法:
- 根据PRISMA 2020指南进行定性证据综合.
- 包括八项研究,探讨患者对外科创新的看法.
- 使用GRADE-CERQual方法评估对发现的信心.
主要成果:
- 患者表现出对外科创新的乐观和信心,但缺乏对相关不确定性的理解.
- 发现多媒体和交互式同意工具可以增强患者的理解.
- 获得了知情同意的五大支柱框架,导致了10点的形式.
结论:
- 患者的信任和感知到的进展显著影响了对外科创新的看法,而不是对风险的理解.
- 伦理,分层和对话驱动的同意将不确定性转化为知情的患者-外科医生伙伴关系.
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